ALICE ANN ROBERTSON CNM FNP-C NPI 1669854287

NPI Information

NPI: 1669854287
Provider Name: ALICE ANN ROBERTSON, CNM, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4444 THE PLZ
CHARLOTTE, NC
ZIP 28215
Phone: (980) 495-0340
Get Directions

Alice Ann Robertson, CNM, FNP-C is a family nurse practitioner in Charlotte, NC. Alice Ann Robertson, CNM, FNP-C NPI is 1669854287. 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:

4444 THE PLZ
CHARLOTTE, NC
ZIP 28215-189
Phone: (980) 495-0340
Fax: (980) 273-1115

The NPI 1669854287 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 6/19/2015 and was last updated on 2/13/2023.

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	363LF0000X	Nurse Practitioner	Family	GAA-NP000824	GEORGIA	No
2	367A00000X	Advanced Practice Midwife		567	NORTH CAROLINA	No
3	363LF0000X	Nurse Practitioner	Family	5012373	NORTH CAROLINA	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0479555	MEDICAID	OHIO
2	23382385	MEDICAID	DISTRICT OF COLUMBIA
3	06879441	MEDICAID	NEW YORK

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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