Individual provider · Type 1 NPI

Dominica N. Roberts, FNP

Family Nurse Practitioner · North Bend, OR

NPI number 1124594080 Active

Practice location

1890 Waite St
North Bend, OR 97459-1229

Mailing address

3810 Buccaneer Ln Apt D
North Bend, OR 97459-2490

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X10042861 (OR)
Family Nurse Practitioner 363LF0000X95031253 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1124594080

Dominica N. Roberts, FNP's National Provider Identifier is 1124594080, issued on Oct 18, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in North Bend, OR. The record was last updated on Mar 27, 2026.