Provider Demographics
NPI:1952722258
Name:ROBERTS, KARA E (ACNP-BC)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:E
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3259 E ANIKA DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-4701
Mailing Address - Country:US
Mailing Address - Phone:908-337-7708
Mailing Address - Fax:
Practice Address - Street 1:3259 E ANIKA DR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85298-4701
Practice Address - Country:US
Practice Address - Phone:908-337-7708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-04
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00475900363LA2100X
MARN2351902363L00000X
AZAP8091363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner