Roberts, Gayle Ann

Roberts, Gayle Ann is an individual health care provider with primary practice located at 123 3Rd St Se , Massillon OH 44646-6606. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Roberts, Gayle Ann can be contacted via phone (330) 832-2229.

Contact Information

Primary practice address
123 3Rd St Se Massillon OH 44646-6606
Fax: (330) 833-4247
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X RN137662 Ohio

Profile Details

NPI number 1437209285
LBN Legal business name Roberts, Gayle Ann
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437209285 NPPES
Ohio MEDICAID 2329653

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