person
Mrs. Susan Tracy Roberts, NP-C
Adult Medicine Physician in Fancy Gap, Virginia
NPI 1730453283

Susan Tracy Roberts is an Adult Medicine Physician based in Fancy Gap, VA and is specialized in Adult Medicine. Susan Tracy Roberts practices in Fancy Gap, VA and has the professional credentials of NP-C. The NPI Number for Susan Tracy Roberts is 1730453283 and holds a License No. 5006199 (Virginia).

The current practice location address for Susan Tracy Roberts is 1661 Turner Spur Rd, Fancy Gap, VA and can be reached out via phone at 276-728-0735 and via fax at 276-728-7717.

Location: 1661 Turner Spur Rd, Fancy Gap, VA, 24328-4365
person
Provider Profile Details
NPI Number
1730453283
Provider Name
Susan Tracy Roberts
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
1661 Turner Spur Rd, Fancy Gap, VA, 24328-4365
Phone Number
276-728-0735
Fax Number
276-728-7717
Provider Enumeration Date
03/01/2012
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
363L00000X 01 VA TAXONOMY
institution
Provider Business Practice Location Address Details
Address
1661 Turner Spur Rd
City
State
Zip
24328-4365
Phone Number
276-728-0735
Fax Number
276-728-7717
person
Provider Business Mailing Address Details
Address
1661 Turner Spur Rd
City
State
Zip
24328-4365
Phone Number
276-728-0735
Fax Number
276-728-7717
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
0024169878 (Virginia)
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
0024169878 (Virginia)
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
Occupational Health
Taxonomy
License No.
5006199 (North Carolina)
Definition
Definition to come...
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