Anderson, Roberta L
Anderson, Roberta L is an individual health care provider with primary practice located at 2500 Metrohealth Dr Mhmc-Pediatrics, Cleveland OH 44109-1900. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Anderson, Roberta L can be contacted via phone (216) 778-5427.Contact Information
Primary practice address
2500 Metrohealth Dr Mhmc-Pediatrics
Cleveland OH 44109-1900
Phone: (216) 778-5427
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | NP01630 | Ohio |
Profile Details
| NPI number | 1942225214 |
|---|---|
| LBN Legal business name | Anderson, Roberta L |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942225214 | NPPES |
| Ohio | MEDICAID | 2091712 |
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