Robertson, Alice Ann

Robertson, Alice Ann is an individual health care provider with primary practice located at 4444 The Plz , Charlotte NC 28215-2189. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Robertson, Alice Ann can be contacted via phone (980) 495-0340.

Contact Information

Primary practice address
4444 The Plz Charlotte NC 28215-2189
Phone: (980) 495-0340
Fax: (980) 273-1115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X GAA-NP000824 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 567 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5012373 North Carolina

Profile Details

NPI number 1669854287
LBN Legal business name Robertson, Alice Ann
Credentials CNM, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2015
Last updated Feb 13th, 2023 - about 2 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 1669854287 NPPES
Ohio MEDICAID 0479555
Ohio MEDICAID 23382385
Ohio MEDICAID 06879441

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