Individual provider · Type 1 NPI
Staci A. Roberts, RN
General Practice Registered Nurse · Pendleton, OR
NPI number
1245965623
Active
Practice location
46314 Timine Way
Pendleton, OR 97801-9417
Mailing address
PO Box 160
Pendleton, OR 97801-0160
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 200842075RN (OR) |
General Practice Registered Nurse: Definition to come...
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About NPI 1245965623
Staci A. Roberts, RN's National Provider Identifier is 1245965623, issued on Jul 20, 2022. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Pendleton, OR. The record was last updated on Jul 20, 2022.