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Mark Roberts
Licensed Practical Nurse in Dayton, Ohio
NPI 1588094825

Mark Roberts is a Licensed Practical Nurse based in Moraine, OH. Mark Roberts practices in Dayton, OH. The NPI Number for Mark Roberts is 1588094825 and holds a License No. APRN.CNP.0027441 (Ohio).

The current practice location address for Mark Roberts is 122 Wyoming St, Dayton, OH and can be reached out via phone at 937-223-4461 and via fax at 937-449-7603. You can also correspond with Mark Roberts through the mailing address at 3170 KETTERING BLVD BLDG B3, MORAINE, OH - 45439-1924 (mailing address contact number: 937-991-3188).

Location: 122 Wyoming St, Dayton, OH, 45439-1924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588094825
Provider Name
Mark Roberts
Credential
Provider Entity Type
Individual
Gender
Male
Address
122 Wyoming St, Dayton, OH, 45439-1924
Phone Number
937-223-4461
Fax Number
937-449-7603
Provider Enumeration Date
11/23/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0424687 05 OH
institution
Provider Business Practice Location Address Details
Address
122 Wyoming St
City
Dayton
State
Ohio
Zip
45409-2731
Phone Number
937-223-4461
Fax Number
937-449-7603
person
Provider Business Mailing Address Details
Address
122 Wyoming St
City
Dayton
State
Ohio
Zip
45409-2731
Phone Number
937-223-4461
Fax Number
937-449-7603
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN151753-M-IV (Ohio)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
APRN.CNP.0027441 (Ohio)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
APRN.CNP.0027441 (Ohio)
Definition
Definition to come...
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