Individual provider · Type 1 NPI
Mark Roberts
Psychiatric/Mental Health Nurse Practitioner · Dayton, OH
NPI number
1588094825
Active
Practice location
122 Wyoming St
Dayton, OH 45409-2731
Fax (937) 449-7603
Mailing address
1846 Spindletop Ln
Dayton, OH 45458-6501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN151753-M-IV (OH) |
| Nurse Practitioner | 363L00000X | APRN.CNP.0027441 (OH) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN.CNP.0027441 (OH) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1588094825
Mark Roberts's National Provider Identifier is 1588094825, issued on Nov 23, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Dayton, OH. The record was last updated on Oct 14, 2024.