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Individual
KRISTEN MARIE ROACH
Active
Individual
KRISTEN MARIE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5019331
NC
363LP0200X
Pediatric Nurse Practitioner
662712
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
662712
TEXAS BOARD OF NURSING
TX
Enumeration date
09/13/2012
Last updated
03/26/2024
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