NETTIE RENEA ROBERTS NPI 1487436176

NPI Information

  • NPI: 1487436176
  • Provider Name: NETTIE RENEA ROBERTS
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 615 7TH AVE
    BOWLING GREEN, KY
    ZIP 42101
  • Phone: (615) 519-4858

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NPI Details

Nettie Renea Roberts is a family nurse practitioner in Bowling Green, KY. Nettie Renea Roberts NPI is 1487436176. 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:

615 7TH AVE
BOWLING GREEN, KY
ZIP 42101-921
Phone: (615) 519-4858

The enumeration date for this NPI number is 10/17/2023 and was last updated on 6/25/2024.

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 PractitionerFamily4009445KENTUCKYYes

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: 11/21/2025

NPI Synchronization or Removal

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