| Doctor Name: | MS. MARY B ROBERTS |
| NPI Number: | 1992795744 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 14043 |
| Business Practice Address: | 300 Twining Street Maxwell Afb, AL - 36112 |
| Business Phone Number: | 3349535143 |
| Business Fax Number: | 3349538296 |
| Mailing Address: | 752 Whitehall Pkwy, MONTGOMERY |
| State: | AL |
| Postal Code: | 361092212 |
| Phone Number: | 3342600882 |
| Fax Number: | 3349538296 |
| NPI Enumeration Date: | 10/24/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 14043 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |