Individual
MS. CYNTHIA R ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
1900 CENTRACARE CIRCLE, CENTRACARE CLINIC - HEALTH PLAZA SPECIALTIES, ST CLOUD, MN 56303-5000
(320) 229-4907
Mailing address
1900 CENTRACARE CIRCLE, CENTRACARE CLINIC - HEALTH PLAZA SPECIALTIES, ST CLOUD, MN 56303-5000
(320) 229-4907
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
MNR1154560
MN
363LF0000X
Family Nurse Practitioner
Primary
R-115456-0
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251220300
—
MN
Enumeration date
03/03/2006
Last updated
07/30/2008
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