SUE E. ROBERTS-WILLIS NPI 1285394775

NPI Information

  • NPI: 1285394775
  • Provider Name: SUE E. ROBERTS-WILLIS
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 302 NE 4TH ST
    WASHINGTON, IN
    ZIP 47501
  • Phone: (812) 789-3157

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NPI Details

Sue E. Roberts-willis is a family nurse practitioner in Washington, IN. Sue E. Roberts-willis NPI is 1285394775. 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:

302 NE 4TH ST
WASHINGTON, IN
ZIP 47501-725
Phone: (812) 789-3157

The NPI 1285394775 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/23/2021 and was last updated on 8/26/2024.

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
1363LF0000XNurse PractitionerFamily71012041AINDIANAYes

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: 3/30/2025

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