Individual provider · Type 1 NPI
Ethel Lee Roberson, RN
Administrator Registered Nurse · Fort Irwin, CA
NPI number
1467518639
Active
Practice location
3942 Bitter Springs Dr
Fort Irwin, CA 92310-1597
Mailing address
4th And Inner Loop
Fort Irwin, CA 92310-1597
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 224780 (TX) |
Administrator Registered Nurse: Definition to come...
Other administrator registered nurse providers in Fort Irwin
About NPI 1467518639
Ethel Lee Roberson, RN's National Provider Identifier is 1467518639, issued on Dec 29, 2006. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Fort Irwin, CA. The record was last updated on Jul 8, 2007.