Individual
JOHANNA ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9611 W BROWARD BLVD, PLANTATION, FL 33324-2334
(954) 924-7000
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(954) 971-3210
(954) 971-3427
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11004232
FL
363LF0000X
Family Nurse Practitioner
APRN11004232
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11004232
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105196900
—
FL
Enumeration date
03/28/2018
Last updated
11/15/2023
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