Roche, Mary A

Roche, Mary A is an individual health care provider with primary practice located at 499 Farmington Avenue Suite 220, Farmington CT 06032. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Roche, Mary A can be contacted via phone (860) 678-7300.

Contact Information

Primary practice address
499 Farmington Avenue Suite 220 Farmington CT 06032
Phone: (860) 678-7300
Fax: (860) 677-2693
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 364SW0102X 001332 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 001332 Connecticut

Profile Details

NPI number 1356432876
LBN Legal business name Roche, Mary A
Credentials APRN NP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jan 11th, 2010 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356432876 NPPES
Connecticut MEDICAID 004226850

Popular Providers