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Individual

CYNTHIA E ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
4055 VALLEY VIEW LN STE 400, DALLAS, TX 75244-5071
(877) 570-9359
Mailing address
4 RIVER RIDGE TER, SAINT JOSEPH, MO 64507-7761
(816) 344-4439

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112198
MO
363LF0000X
Family Nurse Practitioner
46148
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200601490A
KS
05
208332304
MO
01
P00735197
RR MEDICARE
MO
Enumeration date
02/06/2008
Last updated
09/12/2019
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