Doctor Name: | ROBERTA C WALBURN |
NPI Number: | 1821067745 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | A-048790 |
Business Practice Address: | 100 Main St. Lineville, IA - 501479998 |
Business Phone Number: | 6418762070 |
Business Fax Number: | 6418762458 |
Mailing Address: | Po Box 6, LINEVILLE |
State: | IA |
Postal Code: | 501470006 |
Phone Number: | 6418762070 |
Fax Number: | 6418762458 |
NPI Enumeration Date: | 03/14/2006 |
NPI Last Update Date: | 03/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A-048790 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |