Tennille Renee Roberts in Vacaville - Specialist
Tennille Renee Roberts - NPI 1699808378
Tennille Renee Roberts is a Specialist in Vacaville, California. Tennille Renee Roberts practices all healthcare services and medical treatments related to Specialist. The NPI Number for Tennille Renee Roberts is 1699808378. The last update date is 2007-07-08.
Tennille Renee Roberts's current location address is 7000 Leisure Town Rd, Vacaville, California. You can contact this provider via phone number 7072491062 and fax number 7074530384. The mailing address for Tennille Renee Roberts is 7000 Leisure Town Rd, Vacaville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tennille Renee Roberts |
|---|---|
| Address | 7000 Leisure Town Rd, Vacaville, California |
| Phone Number | 7072491062 |
| Fax Number | 7074530384 |
| Sole Proprietor | N |
| Credentials | CAS |
NPI Number Detail
| NPI Number | 1699808378 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7000 Leisure Town Rd |
|---|---|
| City | Vacaville |
| State | California (CA) |
| Post Code | 956889413 |
| Phone Number | 7072491062 |
| Fax Number | 7074530384 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 03-061421 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 03-061421 | CA | CAS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Tennille Renee Roberts by the Centers for Medicare & Medicaid Services?
The Tennille Renee Roberts has been issued the NPI (National Provider Identifier) 1699808378, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Tennille Renee Roberts is physically located?
The Tennille Renee Roberts is situated at the following address: 7000 Leisure Town Rd, Vacaville, CA 956889413.
What is the Tennille Renee Roberts's area of specialization and corresponding taxonomy classification?
The Tennille Renee Roberts's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Tennille Renee Roberts receive its 1699808378 assignment from the Centers for Medicare & Medicaid Services?
The Tennille Renee Roberts was assigned its 1699808378 by the Centers for Medicare & Medicaid Services on 2007-03-13.
When was the information regarding Tennille Renee Roberts, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tennille Renee Roberts, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.