Individual
SEMONE SABRINA ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1162 NEW BRITAIN AVE, WEST HARTFORD, CT 06110-2410
(860) 236-3084
(860) 561-5961
Mailing address
1162 NEW BRITAIN AVE, WEST HARTFORD, CT 06110-2410
(860) 236-3084
(860) 561-5961
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
004767
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008034903
—
CT
01
—
P4428347
OXFORD-UNITED HEALTHCARE
CT
Enumeration date
10/10/2011
Last updated
06/22/2021
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