Individual
TANGELA THOMAS ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
215 EVERETT ST, MORGAN CITY, LA 70380-3618
(985) 354-6081
(985) 354-6087
Mailing address
215 EVERETT ST, MORGAN CITY, LA 70380-3618
(985) 354-6081
(985) 354-6081
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08081
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP08081
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2386425
—
LA
Enumeration date
12/08/2014
Last updated
09/26/2024
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