| Doctor Name: | ROBERTA JO MYERS |
| NPI Number: | 1083808844 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, NP-C |
| License Number: | NP09563 |
| Business Practice Address: | 501 Van Buren St Fostoria Community Hospital Occuhealth Fostoria, OH - 448301534 |
| Business Phone Number: | 4194366639 |
| Business Fax Number: | |
| Mailing Address: | 501 Van Buren St, Fostoria Community Hospital Occuhealth FOSTORIA |
| State: | OH |
| Postal Code: | 448301534 |
| Phone Number: | 4194366639 |
| Fax Number: | |
| NPI Enumeration Date: | 09/04/2007 |
| NPI Last Update Date: | 01/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP09563 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |