Individual provider · Type 1 NPI
Charlette Roberts, RN
Emergency Registered Nurse · Desoto, TX
NPI number
1104798115
Active
Practice location
513 Olympia St
Desoto, TX 75115-1210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse Primary | 163WE0003X | 109587 (TX) |
Emergency Registered Nurse: Definition to come...
About NPI 1104798115
Charlette Roberts, RN's National Provider Identifier is 1104798115, issued on Sep 19, 2025. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Desoto, TX. The record was last updated on Sep 19, 2025.