Roach, Mary Susan
Roach, Mary Susan is an individual health care provider with primary practice located at 703 N. 1St Street , Mccall ID 83638-3851. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Roach, Mary Susan can be contacted via phone (208) 630-8002.Contact Information
Primary practice address
703 N. 1St Street
Mccall ID 83638-3851
Phone: (208) 630-8002
Fax: (208) 634-2174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP 87-A | Idaho |
Profile Details
| NPI number | 1437281375 |
|---|---|
| LBN Legal business name | Roach, Mary Susan |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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