Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 9264958 | FL |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | F350167-1 | NY |
NPI | 1366595928 |
---|---|
Provider Name | Roberta Ann Weber |
First Address | Parkland, FL 33076-4529 |
Second Address | Hollywood, FL 33021-5421 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2007 |
Last Update Date | 17/12/2019 |