MRS. ROBERTA BUCKLEY MANSEN FNP NPI 1336550904

NPI Information

MRS. Roberta Buckley Mansen, FNP is a family nurse practitioner in Schenectady, NY with 11 years of experience. MRS. Roberta Buckley Mansen, FNP NPI is 1336550904. 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:

2125 RIVER RD
SUITE 303
SCHENECTADY, NY
ZIP 12309-135
Phone: (518) 382-8350
Fax: (518) 382-0345

The NPI 1336550904 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 5/16/2014 and was last updated on 10/20/2014.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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