| Doctor Name: | MS. AMY LEA ROBERTS |
| NPI Number: | 1154302628 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFNP |
| License Number: | 0024166071 |
| Business Practice Address: | 6719 Gov. G. C. Peery Hwy. Suite 3100 Richlands, VA - 24641 |
| Business Phone Number: | 2769649012 |
| Business Fax Number: | 2769632865 |
| Mailing Address: | Po Box 900, Suite 3100 RICHLANDS |
| State: | VA |
| Postal Code: | 246410900 |
| Phone Number: | 2769649102 |
| Fax Number: | 2769632865 |
| NPI Enumeration Date: | 11/10/2005 |
| NPI Last Update Date: | 03/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024166071 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |