Roach, Colleen Brynne

Roach, Colleen Brynne is an sole proprietor health care provider with primary practice located at 601 Childrens Ln , Norfolk VA 23507-1910. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Roach, Colleen Brynne can be contacted via phone (757) 668-7000.

Contact Information

Primary practice address
601 Childrens Ln Norfolk VA 23507-1910
Phone: (757) 668-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 0024180335 Virginia
Nursing Service Providers / Registered Nurse 163W00000X 9434989 Florida

Profile Details

NPI number 1174087399
LBN Legal business name Roach, Colleen Brynne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2019
Last updated Oct 14th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174087399 NPPES
Other NONE NONE

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