Individual
DEBORAH L ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
611 SHERMAN AVE E, FORT ATKINSON, WI 53538-1960
(920) 568-6090
Mailing address
PO BOX 249, FORT ATKINSON, WI 53538-0249
(920) 568-5000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3268-33
WI
Other
Enumeration date
10/29/2007
Last updated
07/26/2024
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