Robertson, Tangela Denise

Robertson, Tangela Denise is an individual health care provider with primary practice located at 215 Everett St , Morgan City LA 70380-3618. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Robertson, Tangela Denise can be contacted via phone (985) 354-6081.

Contact Information

Primary practice address
215 Everett St Morgan City LA 70380-3618
Phone: (985) 354-6081
Fax: (985) 354-6087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP08081 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP08081 Louisiana

Profile Details

NPI number 1942608997
LBN Legal business name Robertson, Tangela Denise
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2014
Last updated Nov 2nd, 2022 - about 2 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 1942608997 NPPES
Louisiana MEDICAID 2386425

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