Benjamin Joel Roberts, CRNA
Nurse Anesthetist, Certified Registered in Charlotte, NC. Individual provider (NPI-1).
NPI number1023045689
StatusActive
Last updated in NPPESAug 14, 2008
Details
- NPI
- 1023045689
- Entity type
- Individual (NPI-1)
- Name
- Benjamin Joel Roberts
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2006
- Last updated
- Aug 14, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 185344 | NC | Yes |
Practice location
10628 Park RdAnesthesia Department
Charlotte, NC 28210-8407
Phone 704-667-1000
Mailing address
10628 Park RdAnesthesia Department
Charlotte, NC 28210-8407
Phone 704-667-1971
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