Doctor Name: | CATHERINE ROBERTS |
NPI Number: | 1154550671 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | RN100888 |
Business Practice Address: | 5088 Oak Farm Way Flowery Branch, GA - 305425273 |
Business Phone Number: | 7709650515 |
Business Fax Number: | 7709656563 |
Mailing Address: | 5088 Oak Farm Way, FLOWERY BRANCH |
State: | GA |
Postal Code: | 305425273 |
Phone Number: | 7709650515 |
Fax Number: | 7709656563 |
NPI Enumeration Date: | 07/06/2009 |
NPI Last Update Date: | 01/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN100888 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |