Individual
GAVIN ROACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-3131
Mailing address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(863) 370-9555
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP021669
PA
363LF0000X
Family Nurse Practitioner
APRN11004127
FL
363LF0000X
Family Nurse Practitioner
SP021669
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016388100
—
FL
Enumeration date
07/16/2014
Last updated
04/16/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us