Individual ProviderSara Elizabeth RobertsonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address422 Heywood Ave, Louisville, KY 40208-1346(502) 636-2900(502) 500-5254PECOS EnrollmentBased on the most recent information from CMS, provider Sara Elizabeth Robertson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 6:04 PM.Profile DetailsProvider ID1225000490Provider TypeIndividualFull NameRobertson, Sara ElizabethTitleMrs.CredentialARNPGenderFemaleSole ProprietorNoEnumeration Date2/2/2006Last Updated2/1/2012Contact InformationPractice LocationPractice Address422 Heywood Ave, Louisville, KY 40208-1346Phone(502) 636-2900FaxUnlisted FaxMailing LocationMailing Address4031 Alton Rd, Louisville, KY 40207-4523Phone(502) 500-5254FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense4710PKentucky