Roberts, Maurice J

Roberts, Maurice J is an individual health care provider with primary practice located at 3601 Old Halifax Rd Ste 100 , South Boston VA 24592-4953. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Roberts, Maurice J can be contacted via phone (757) 984-6140.

Contact Information

Primary practice address
3601 Old Halifax Rd Ste 100 South Boston VA 24592-4953
Phone: (757) 984-6140
Fax: (833) 491-4954
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024177069 Virginia

Profile Details

NPI number 1194297853
LBN Legal business name Roberts, Maurice J
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2018
Last updated Feb 25th, 2026 - about 9 months 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 1194297853 NPPES
Virginia Other 0024177069 APPLICATION IN PROCESS

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