ETHEL LEE ROBERSON RN NPI 1467518639

NPI Information

NPI: 1467518639
Provider Name: ETHEL LEE ROBERSON, RN
Classification: Registered Nurse - 163WA2000X
Entity Type: Individual

Specialization: Administrator

Address:
3942 BITTER SPRINGS DR
FORT IRWIN, CA
ZIP 92310
Phone: (760) 900-2338
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Ethel Lee Roberson, RN is an administrator registered nurse in Fort Irwin, CA. Ethel Lee Roberson, RN NPI is 1467518639. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3942 BITTER SPRINGS DR
FORT IRWIN, CA
ZIP 92310-597
Phone: (760) 900-2338

The enumeration date for this NPI number is 12/29/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WA2000X	Registered Nurse	Administrator	224780	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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