Individual provider · Type 1 NPI

Trisa Sue Roberts, RN

Critical Care Medicine Registered Nurse · Porum, OK

NPI number 1497644819 Active

Practice location

10288 E 263rd St S
Porum, OK 74455-5639

Call (918) 681-0141 Map

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse Primary 163WC0200XR0104933 (OK)

Critical Care Medicine Registered Nurse: Definition to come...

About NPI 1497644819

Trisa Sue Roberts, RN's National Provider Identifier is 1497644819, issued on Jul 1, 2025. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Porum, OK. The record was last updated on Jul 1, 2025.