Provider Demographics
NPI:1790237196
Name:ROBERTS, KRISTEN MARIE (APRN)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:MARIE
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:202 N PARK AVE
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-4148
Mailing Address - Country:US
Mailing Address - Phone:407-889-4711
Mailing Address - Fax:407-889-7742
Practice Address - Street 1:840 E SEMORAN BLVD STE 200
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-5517
Practice Address - Country:US
Practice Address - Phone:407-900-1966
Practice Address - Fax:407-647-1930
Is Sole Proprietor?:No
Enumeration Date:2016-11-01
Last Update Date:2024-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9287113363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily