Provider Demographics
NPI:1679906234
Name:ROBERTS, SYLVIA ANNETTE (RN)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:ANNETTE
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27351 FAIRHAVEN RD
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24211-6405
Mailing Address - Country:US
Mailing Address - Phone:276-701-6073
Mailing Address - Fax:
Practice Address - Street 1:27351 FAIRHAVEN RD
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24211-6405
Practice Address - Country:US
Practice Address - Phone:276-701-6073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-18
Last Update Date:2013-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001193663163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine