Nicollette Roberison
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Princeton, LA
NPI 1073145397 · NPPES record last updated Feb 5, 2020
Key facts
- NPI
- 1073145397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1217 Winfield Rd
Princeton, LA 71067-8343 - Phone
- (318) 286-7225
- NPI assigned
- Feb 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1217 Winfield Rd
Princeton, LA 71067-8343
Mailing address
1217 Winfield Rd
Princeton, LA 71067-8343
Other providers in Princeton, LA
- Casey Rachelle Cherry
- Aleesha Hardman
- Shyla Marshall
- Yolanda Scott
- Erica Tate
- The Childrens Counseling Center of Shreveport Inc
- Constance Veronica Underwood
- Virtuous Loving Arms Home LLC
All providers in Princeton, LA · Student in an Organized Health Care Education/Training Program in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.