Stephanie B Roberts in Longview - Physician Assistant
Stephanie B Roberts - NPI 1881686194
Stephanie B Roberts is a Physician Assistant in Longview, Washington. Stephanie B Roberts practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stephanie B Roberts is 1881686194. The last update date is 2009-04-15.
Stephanie B Roberts's current location address is 1615 Delaware St, Longview, Washington. You can contact this provider via phone number 3604147878 and fax number 3604147876. The mailing address for Stephanie B Roberts is 1615 Delaware St, Longview, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie B Roberts |
|---|---|
| Address | 1615 Delaware St, Longview, Washington |
| Phone Number | 3604147878 |
| Fax Number | 3604147876 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1881686194 |
|---|---|
| Provider Enumeration Date | 2005-08-22 |
| Last Updated Date | 2009-04-15 |
Provider Mailing Address Detail
| Address | 1615 Delaware St |
|---|---|
| City | Longview |
| State | Washington (WA) |
| Post Code | 986322310 |
| Phone Number | 3604147878 |
| Fax Number | 3604147876 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA10004487 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 188925 | WA | LABOR & IND. | |
| 8940047 | WA | CRIME VICTIMS | |
| 8406696 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Stephanie B Roberts by the Centers for Medicare & Medicaid Services?
The Stephanie B Roberts has been issued the NPI (National Provider Identifier) 1881686194, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Stephanie B Roberts's facilities are situated?
The facilities of Stephanie B Roberts are physically located at the following address: 1615 Delaware St, Longview, WA, 986322310.
What is Stephanie B Roberts's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stephanie B Roberts's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Stephanie B Roberts receive its 1881686194 assignment from the Centers for Medicare & Medicaid Services?
The Stephanie B Roberts was assigned its 1881686194 by the Centers for Medicare & Medicaid Services on 2005-08-22.
As of what date were the details related to Stephanie B Roberts most recently updated or revised?
The information pertaining to Stephanie B Roberts, including its address, specialty, and other relevant details, was last updated or revised on 2009-04-15.