Search › Idaho › 164W00000X
Jeffrey Roberts, LPN,WCN
NPI 1497162986 · on the registry since 2014 · sole proprietor
Practice
- Address
- 620 S Elder St
Nampa, ID 83686 - Phone
- (208) 465-7659
- Organisation at this address
- Divinity Healthcare Services Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-07-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho