Roberts, Shawn Adele

Roberts, Shawn Adele is an individual health care provider with primary practice located at 950 E Bogard Rd Suite 103, Wasilla AK 99654-7184. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Roberts, Shawn Adele can be contacted via phone (907) 352-2880.

Contact Information

Primary practice address
950 E Bogard Rd Suite 103 Wasilla AK 99654-7184
Phone: (907) 352-2880
Fax: (907) 352-2885
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 166 Alaska

Profile Details

NPI number 1295878429
LBN Legal business name Roberts, Shawn Adele
Credentials MS FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Apr 5th, 2013 - about 12 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 1295878429 NPPES
Alaska MEDICAID 0166-02

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