# FLORENCE C ROQUE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1376626564
- **Gender:** F
- **Credential:** DNP, CPNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | CNP-01614 | NM | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 10/21/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5558582 | — | NM |
| 05 | — | 965048 | — | AZ |