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Individual

COLLEEN ROACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP-F

Contact information

Practice address
6901 SECURITY BLVD STE 200, WINDSOR MILL, MD 21244-2412
(410) 837-2050
(410) 752-1374
Mailing address
6901 SECURITY BLVD STE 200, WINDSOR MILL, MD 21244-2412
(410) 837-2050
(410) 752-1374

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R046352
MD

Other

Enumeration date
06/29/2016
Last updated
01/09/2024
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