Mary Geralyn Roberts, RN
Registered Nurse in West Bend, WI. Individual provider (NPI-1).
NPI number1295085751
StatusActive
Last updated in NPPESSep 12, 2012
Details
- NPI
- 1295085751
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mary Geralyn Roberts
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 12, 2012
- Last updated
- Sep 12, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 185996-30 | WI | Yes |
Practice location
7239 N River RdWest Bend, WI 53090-1216
Phone 262-334-1359
Mailing address
7239 N River RdWest Bend, WI 53090-1216
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