Provider Demographics
NPI:1184167512
Name:ROBERTS, SYLVIA ISABEL
Entity type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:ISABEL
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:SYLVIA
Other - Middle Name:ISABEL
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:9720 3RD AVE NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-2019
Mailing Address - Country:US
Mailing Address - Phone:206-789-7061
Mailing Address - Fax:
Practice Address - Street 1:16715 AURORA AVE N
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-5310
Practice Address - Country:US
Practice Address - Phone:206-542-9766
Practice Address - Fax:206-542-0326
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-03
Last Update Date:2016-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00088301163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse