| Doctor Name: | SANDRA LEE ROBERTS |
| NPI Number: | 1083653836 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 903 |
| Business Practice Address: | 525 Mill St Sheridan, MT - 597499600 |
| Business Phone Number: | 9075436060 |
| Business Fax Number: | 9075436061 |
| Mailing Address: | Po Box 528, BETHEL |
| State: | AK |
| Postal Code: | 995590528 |
| Phone Number: | 9075436060 |
| Fax Number: | 9075436061 |
| NPI Enumeration Date: | 06/06/2006 |
| NPI Last Update Date: | 06/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 903 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |