KATRINA MARIE ROBERTSON PA NPI 1801469028

NPI Information

NPI: 1801469028
Provider Name: KATRINA MARIE ROBERTSON, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
8832 US HIGHWAY 90
DAPHNE, AL
ZIP 36526
Phone: (251) 263-9820
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Katrina Marie Robertson, PA is a medical physician assistant in Daphne, AL with 2 years of experience. Katrina Marie Robertson, PA NPI is 1801469028. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2022

The provider's business location address is:

8832 US HIGHWAY 90
DAPHNE, AL
ZIP 36526-932
Phone: (251) 263-9820
Fax: (251) 263-9821

The NPI 1801469028 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 7/24/2021 and was last updated on 1/3/2024.

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
1	363AM0700X	Physician Assistant	Medical	PA.2163	ALABAMA	Yes
2	363A00000X	Physician Assistant		PA9116559	FLORIDA	No

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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