Most Relevant Information
Provider Data
| NPI Number: | 1003068644 |
| Provider Name: | WANDA S ROBERTS R.N. |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 40708 |
Most Important Dates
| Enumeration Date: | 10/15/2008 |
| Last Updated: | 10/15/2008 |
Provider Practice Location
1365 HICKORY DR
ERIE
CO
805167926
Practice Location Phone/Fax
| Phone: | 3039264339 |
| Fax: |
Provider Mailing Location
1365 HICKORY DR
ERIE
CO
805167926
Provider Mailing Phone/Fax
| Phone: | 3039264339 |
| Fax: |