Individual
SUSAN BLIGH ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
5658 HIGHWAY 260, SUITE 24, LAKESIDE, AZ 85929-5189
(928) 537-4379
(928) 537-4653
Mailing address
5423 BLACK BEAR WAY, LAKESIDE, AZ 85929-5514
(928) 368-5493
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM8247106
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
459942
—
AZ
Enumeration date
01/31/2006
Last updated
08/24/2007
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