Individual
MRS. PAULA BETH ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CNNP
Contact information
Practice address
BLDG 4-2817 REILLY ROAD, FORT BRAGG, NC 28310-0001
(910) 907-7626
(910) 907-8645
Mailing address
4304 CRICKLEWOOD ST, LUMBERTON, NC 28358-2405
(910) 671-9289
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
930054
NC
363LN0005X
Critical Care Neonatal Nurse Practitioner
930054
NC
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
930054
NC
Other
Enumeration date
02/10/2006
Last updated
08/02/2024
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