| Doctor Name: | ETHEL LEE ROBERSON |
| NPI Number: | 1467518639 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 224780 |
| Business Practice Address: | 3942 Bitter Springs Dr Fort Irwin, CA - 923101597 |
| Business Phone Number: | 7609002338 |
| Business Fax Number: | |
| Mailing Address: | 4th And Inner Loop, FORT IRWIN |
| State: | CA |
| Postal Code: | 923101597 |
| Phone Number: | 7603803190 |
| Fax Number: | |
| NPI Enumeration Date: | 12/29/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA2000X |
| License Number: | 224780 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Administrator |
| Taxonomy Definition: | |