Individual
MRS. CARMEN M. ROAQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3600 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 215-3101
Mailing address
3600 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 215-3101
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
0017139043
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024167622
FNP LICENSE
VA
Enumeration date
12/14/2007
Last updated
12/14/2007
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