NPI 1124847561

Nicole Robertson, RPRS

Practitioner Peer Specialist Winchester, VA

Practice location

Address: 337 Westside Station Dr, Winchester, VA 22601-2840
Phone: (540) 536-4881

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 0735001079 (VA)

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Registry record

NPI: 1124847561
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Oct 2024
Record last updated: 3 Oct 2024

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.