Individual
MR. WARREN W ROESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
2525 SEVERN AVE, OMEGA HOSPITAL, METAIRIE, LA 70002-5932
(504) 832-4200
Mailing address
230 AUDUBON DR, MANDEVILLE, LA 70471
(985) 845-1501
(985) 845-1601
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN050984
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN050984
LICENSE #
LA
Enumeration date
01/10/2007
Last updated
10/14/2008
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