Provider Demographics
NPI:1598135436
Name:ROBERTS, ANNE E
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:E
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ANNE
Other - Middle Name:E
Other - Last Name:HANKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2901 58TH AVENUE N.
Mailing Address - Street 2:PEDIATRIC GASTROENTEROLOGYHEPATOLOGY & NUTRITION OF FLO
Mailing Address - City:ST. PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33714-1326
Mailing Address - Country:US
Mailing Address - Phone:727-895-3702
Mailing Address - Fax:727-896-3828
Practice Address - Street 1:601 5TH STREET S.
Practice Address - Street 2:SUITE #605
Practice Address - City:ST. PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33714-1326
Practice Address - Country:US
Practice Address - Phone:727-822-4300
Practice Address - Fax:727-456-1399
Is Sole Proprietor?:No
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9295655363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics