| Doctor Name: | MARTHA L ROBERTS |
| NPI Number: | 1912072265 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN PC NP |
| License Number: | 161304 |
| Business Practice Address: | 16 Waterhouse Rd #3 Bourne, MA - 025323897 |
| Business Phone Number: | 5087597279 |
| Business Fax Number: | 5087596942 |
| Mailing Address: | 16 Waterhouse Rd, #3 BOURNE |
| State: | MA |
| Postal Code: | 025323897 |
| Phone Number: | 5087597279 |
| Fax Number: | 5087596942 |
| NPI Enumeration Date: | 11/22/2006 |
| NPI Last Update Date: | 04/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 161304 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |