Provider Demographics
NPI:1043281249
Name:ROBERSON, NEKEIA REMOAN (RDH)
Entity Type:Individual
Prefix:MS
First Name:NEKEIA
Middle Name:REMOAN
Last Name:ROBERSON
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:NEKEIA
Other - Middle Name:REMOAN
Other - Last Name:BORDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3904 BREEZEPORT WAY APT 204
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-1077
Mailing Address - Country:US
Mailing Address - Phone:757-484-4590
Mailing Address - Fax:
Practice Address - Street 1:BLDG. 277 CODE 100D
Practice Address - Street 2:NAVAL MEDICAL CENTER PORTSMOUTH - N
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23709
Practice Address - Country:US
Practice Address - Phone:757-953-6509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist