Doctor Name: | TERRY ANNE ROBERTS |
NPI Number: | 1710267067 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, FNP, BC |
License Number: | 21768 |
Business Practice Address: | 2300 Us Route 60 Ona, WV - 255459712 |
Business Phone Number: | 3047437495 |
Business Fax Number: | |
Mailing Address: | Po Box 1680, HUNTINGTON |
State: | WV |
Postal Code: | 257171680 |
Phone Number: | 3045253334 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2011 |
NPI Last Update Date: | 05/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 21768 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |