Individual provider · Type 1 NPI

Kelly Roberto, FNP-C

Family Nurse Practitioner · Maplewood, MN

NPI number 1124629464 Active

Practice location

2196 White Bear Ave N
Maplewood, MN 55109-2708

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X7676 (MN)
Family Nurse Practitioner Primary 363LF0000X7676 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1124629464

Kelly Roberto, FNP-C's National Provider Identifier is 1124629464, issued on Nov 3, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Maplewood, MN. The record was last updated on May 18, 2021.