Individual
MRS. TRACY ANN ROEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CNP
Contact information
Practice address
1900 CENTRACARE CIR # 2300, CENTRACARE CLINIC HEALTH PLAZA OBSTETRICS AND WOMEN'S H, SAINT CLOUD, MN 56303-5000
(320) 654-3630
(320) 654-3657
Mailing address
1900 CENTRACARE CIR # 2300, CENTRACARE CLINIC HEALTH PLAZA OBSTETRICS AND WOMEN'S H, SAINT CLOUD, MN 56303-5000
(320) 654-3630
(320) 654-3657
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
R184825-8
MN
363LF0000X
Family Nurse Practitioner
Primary
CNP0403
MN
363LF0000X
Family Nurse Practitioner
F1012160
MN
Other
Enumeration date
10/23/2012
Last updated
03/03/2015
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