Individual
MRS. LAURA CAMERON ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, ACNP
Contact information
Practice address
1814 ROSELAND BLVD, TYLER, TX 75701-4234
(903) 525-3668
(903) 525-3448
Mailing address
2110 HOLLY CREEK DR, TYLER, TX 75703-0947
(903) 520-2454
(903) 525-3448
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
TX 681561
TX
363LP2300X
Primary Care Nurse Practitioner
681561
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308897900
—
FL
01
—
Y124W
BCBS
FL
Enumeration date
07/17/2006
Last updated
04/03/2014
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