Individual
KRISTIN GINA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 MERCY DR NW STE 101, CANTON, OH 44708-2624
(330) 588-4676
(330) 588-4677
Mailing address
1330 MERCY DR NW STE 101, CANTON, OH 44708-2624
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
COA.18528-NP
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
COA.18528-NP
OH
363LP2300X
Primary Care Nurse Practitioner
COA.18528-NP
OH
Other
Enumeration date
03/01/2016
Last updated
03/28/2022
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