Roberts, Susan Tracy

Roberts, Susan Tracy is an sole proprietor health care provider with primary practice located at 1661 Turner Spur Rd , Fancy Gap VA 24328-4365. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Occupational Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Allopathic & Osteopathic Physicians / Adult Medicine. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Roberts, Susan Tracy can be contacted via phone (276) 728-0735.

Contact Information

Primary practice address
1661 Turner Spur Rd Fancy Gap VA 24328-4365
Phone: (276) 728-0735
Fax: (276) 728-7717
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health 363LX0106X 5006199 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024169878 Virginia
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 0024169878 Virginia

Profile Details

NPI number 1730453283
LBN Legal business name Roberts, Susan Tracy
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2012
Last updated Nov 30th, 2021 - about 5 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 1730453283 NPPES
Virginia Other 363L00000X TAXONOMY

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