Individual
ALLYSON DYAN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
405 NORTHFIELD AVE STE LL2, WEST ORANGE, NJ 07052-3023
(973) 736-4442
(973) 736-8717
Mailing address
110 PLYMOUTH AVE, MAPLEWOOD, NJ 07040-2320
(913) 961-2498
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2015037395
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ15037700
NJ
Other
Enumeration date
10/21/2015
Last updated
05/12/2026
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