Individual provider · Type 1 NPI

Laci Renae Robertson

Nurse Practitioner · Fort Payne, AL

NPI number 1407449721 Active

Practice location

212 Airport Road W
Fort Payne, AL 35968

Mailing address

212 Airport Rd W
Fort Payne, AL 35968-3335

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X1-132480 (AL)
Nurse Practitioner Primary 363L00000X1-132480 (AL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1407449721

Laci Renae Robertson's National Provider Identifier is 1407449721, issued on Feb 17, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Payne, AL. The record was last updated on Mar 5, 2026.