Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARY SUSAN ROACH, FNP
ActiveMS. MARY SUSAN ROACH, FNP is a Family Nurse Practitioner healthcare provider located in MCCALL, Idaho. NPI 1437281375 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · MCCALL, ID
Registration Details
- NPI Number
- 1437281375
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 9, 2007 (19.436541254633 yrs)
- Last Updated
- Jul 8, 2007
- License
-
NP 87-A (ID)
Practice Information
- Address
-
703 N. 1ST STREETMCCALL, ID, 836383851Browse ID providers · Browse ZIP 83638
- Phone
- 2086308002
- Fax
- 2086342174
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.