Provider Demographics
NPI:1871820332
Name:ROEBUCK, SYLVIA KARINDA (CNM)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:KARINDA
Last Name:ROEBUCK
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 SPRINGDALE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-6493
Mailing Address - Country:US
Mailing Address - Phone:919-368-2209
Mailing Address - Fax:
Practice Address - Street 1:1832 DOCTORS DR
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-5000
Practice Address - Country:US
Practice Address - Phone:919-775-2390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-04
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC433367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife