Provider Demographics
NPI:1942592704
Name:ROBERTS, AIMEE BROOKE (CD, CCE)
Entity Type:Individual
Prefix:MRS
First Name:AIMEE
Middle Name:BROOKE
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:CD, CCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2259 ST MARSHALL DR.
Mailing Address - Street 2:
Mailing Address - City:VIRGNINA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454
Mailing Address - Country:US
Mailing Address - Phone:757-575-9363
Mailing Address - Fax:
Practice Address - Street 1:2259 SAINT MARSHALL DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-2830
Practice Address - Country:US
Practice Address - Phone:757-575-9363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No374J00000XNursing Service Related ProvidersDoula