CONNIE LEE ROBERTS NP
NPI 1336155209
Nurse Practitioner - Neonatal in Royal Oak, MI
Active since July 31, 2006
About Connie Lee Roberts Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNIE LEE ROBERTS NP (NPI 1336155209) is an individual neonatal provider in Royal Oak, Michigan, licensed in Michigan (4704165865) and active in the NPI registry since July 2006. She maintains a secondary practice location in Troy.
NPPES Registry Identity
NPI1336155209
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameCONNIE LEE ROBERTSCredential: NP
Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-6712
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849 · (947) 522-1848 · Fax (947) 522-0307
Phone(248) 898-0633
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateAugust 5, 20253 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1336155209 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in MI · 4704165865
3601 W 13 MILE RD, Royal Oak, MI 48073
Secondary Practice Location 1
Location 144201 Dequindre RdTroy, MI 48085-1117 · Phone (248) 964-5000
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Pathology (Chemical Pathology)
3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL, DEPT. OF CLINICAL PATHOLOGY
ROYAL OAK, MI 48073
ROYAL OAK, MI 48073
Anesthesiology (Pain Medicine)
3601 W 13 MILE RD, ANESTHESIOLOGY DEPT
ROYAL OAK, MI 48073
ROYAL OAK, MI 48073
Medical Genetics, Ph.D. Medical Genetics
3601 W 13 MILE RD
ROYAL OAK, MI 48073
ROYAL OAK, MI 48073
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336155209, enumerated as an "individual" on July 31, 2006.
The provider is located at 3601 W 13 MILE RD ROYAL OAK, MI 48073 and the phone number is (248) 898-0633.
Nurse Practitioner with taxonomy code 363LN0000X and a focus in Neonatal.