Roberts, Derreth C

Roberts, Derreth C is an individual health care provider with primary practice located at 789 Central Avenue , Dover NH 03820-2526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Roberts, Derreth C can be contacted via phone (603) 740-2697.

Contact Information

Primary practice address
789 Central Avenue Dover NH 03820-2526
Phone: (603) 740-2697
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 047079-23-05 New Hampshire

Profile Details

NPI number 1356397657
LBN Legal business name Roberts, Derreth C
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jul 9th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356397657 NPPES
New Hampshire MEDICAID 1000849

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