NPI 1013219559

Shaunia Roberts, LPN

Practitioner Licensed Practical Nurse Fort Leonard Wood, MO

Practice location

Address: 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952
Phone: (573) 596-1766
Mailing address: 24579 True Dr, Saint Robert, MO 65584-3802

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 2005017614 (MO)

Other Licensed Practical Nurse providers in Missouri →

Registry record

NPI: 1013219559
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Dec 2010
Record last updated: 2 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.