Robertson, Dilice G
Robertson, Dilice G is an individual health care provider with primary practice located at 71 Oxford Rd Unit L , Oxford CT 06478-1900. She recently has 6 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Psychiatric/Mental Health, Adult, Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Robertson, Dilice G can be contacted via phone (203) 463-4555.Contact Information
Primary practice address
71 Oxford Rd Unit L
Oxford CT 06478-1900
Phone: (203) 463-4555
Fax: (203) 517-0058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 81733 | Connecticut |
| Nursing Service Providers / Addiction (Substance Use Disorder) | 163WA0400X | 81733 | Connecticut |
| Nursing Service Providers / Psychiatric/Mental Health, Adult | 163WP0809X | 81733 | Connecticut |
| Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent | 163WP0807X | 81733 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family | 364SP0810X | 2008008396 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 003973 | Connecticut |
Profile Details
| NPI number | 1497959811 |
|---|---|
| LBN Legal business name | Robertson, Dilice G |
| Credentials | APRN,PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2007 |
| Last updated | Apr 12th, 2017 - about 7 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 | 1497959811 | NPPES |
| Connecticut | MEDICAID | 004235900 |
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