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Individual
NICOLE ELIZABETH ROEBUCK
Active
Individual
NICOLE ELIZABETH ROEBUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
241719
NC
363L00000X
Nurse Practitioner
241719
NC
363LF0000X
Family Nurse Practitioner
Primary
5007225
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144623224
—
NC
01
—
19A2P
BCBS NC
NC
Enumeration date
10/02/2014
Last updated
02/27/2026
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