IndividualActive
Andre Roberson
NPI 1629546072 · Adult Companion · Plymouth, MN
Provider details
- NPI number
- 1629546072
- Entity type
- Individual
- Primary specialty
- Adult CompanionNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1110 Evergreen Ln N
Plymouth, MN 55441-4834
Phone: (763) 200-7441
Approximate (ZIP-level) locationGet directions
Mailing address
1110 Evergreen Ln N
Plymouth, MN 55441-4834
Registry dates
- Enumerated
- 2018-11-04
- Last updated
- 2018-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.