Individual
PATRICIA ROACH NORCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2536 LENGERS WAY, FORT MILL, SC 29707-7126
(704) 749-5800
(704) 626-3237
Mailing address
PO BOX 601549, CHARLOTTE, NC 28260-1549
(704) 384-4239
(704) 384-5636
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
053779
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
26300
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052065
—
NC
05
—
NAN413
—
SC
Enumeration date
05/10/2006
Last updated
06/30/2023
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