# DIANE ROACH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1902846876
- **Gender:** F
- **Credential:** CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | NM02342 | OH | Yes |
| 367A00000X | Advanced Practice Midwife | RN209167 | OH | — |

## Other

- **Enumeration date:** 06/07/2006
- **Last updated:** 01/12/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0801850 | — | OH |
| 05 | — | 78009529 | — | KY |