Terri Roberson, LPN
Individual provider Active NPI Licensed Practical Nurse · Somerville, OH
NPI 1790021079 · NPPES record last updated Dec 14, 2012
Key facts
- NPI
- 1790021079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN098719 (OH)
- Practice address
- 2103 Mendenhall Rd
Somerville, OH 45064-9430 - Phone
- (513) 267-6463
- NPI assigned
- Dec 14, 2012
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN098719 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN098719 | OH | Yes |
Addresses
Primary practice location
2103 Mendenhall Rd
Somerville, OH 45064-9430
Mailing address
2103 Mendenhall Rd
Somerville, OH 45064-9430
Phone (513) 267-6463
Other providers in Somerville, OH
- Brandy R Ivey
- Amanda Meyer
- Lori B Mills
- Tammy Sue Murray
- Patricia Poirier
- Shawna Louise Roos
- Tina Sims
- Melissa Vaughn
- Woodland Country Manor Inc
- Zachariah Zehler
All providers in Somerville, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2012. 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.