Individual provider · Type 1 NPI

Stasha-Gae Alicia Roberts, NURSE PRACTITIONER

Primary Care Nurse Practitioner · Tampa, FL

NPI number 1326443532 Active

Practice location

10150 Highland Manor Dr Ste 200
Tampa, FL 33610-9712

Fax (813) 706-7077

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XAPRN9168956 (FL)
Primary Care Nurse Practitioner Primary 363LP2300XAPRN9168956 (FL)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1326443532

Stasha-Gae Alicia Roberts, NURSE PRACTITIONER's National Provider Identifier is 1326443532, issued on Oct 30, 2014. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Tampa, FL. The record was last updated on May 3, 2024.