Provider Demographics
NPI:1760732341
Name:GINSBERG, ROBERTA ANN (BSRN)
Entity Type:Individual
Prefix:MRS
First Name:ROBERTA
Middle Name:ANN
Last Name:GINSBERG
Suffix:
Gender:F
Credentials:BSRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-6936
Mailing Address - Country:US
Mailing Address - Phone:585-329-5896
Mailing Address - Fax:
Practice Address - Street 1:1012 JAMES ST
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-6936
Practice Address - Country:US
Practice Address - Phone:585-329-5896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-11
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 9342608163W00000X
NY255538-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse