Ms. Susanne Roberts
Nurse Practitioner - Women's Health
1019 Broadway
West Long Branch
, New Jersey 07764-1326
Ms. Susanne Roberts
Nurse Practitioner - Women's Health
1019 Broadway
West Long Branch
, New Jersey 07764-1326
(732) 774-2607
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Ms. Susanne Roberts
- 2208 Alpine Trl
- Neptune, NJ
- Zip : 07753-4469
- Phone : (732) 774-2607
Second Address
- Ms. Susanne Roberts
- 1019 Broadway
- West Long Branch, NJ
- Zip : 07764-1326
- Fax : (732) 229-6893
- Phone : (732) 229-6797
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | 26NN07628400 | NJ |
National Provider Identifier
| NPI | 1083640957 |
|---|---|
| Provider Name | Ms. Susanne Roberts |
| First Address | Neptune, NJ 07753-4469 |
| Second Address | West Long Branch, NJ 07764-1326 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| MR0604896 | DEA (01) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.