Individual
ETHEL TAYLOR ROANE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
204 JEFFERYS DR, NEWPORT NEWS, VA 23601-3154
(757) 595-6116
Mailing address
204 JEFFERYS DR, NEWPORT NEWS, VA 23601-3154
(757) 595-6116
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001097946
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001097946
RN
VA
Enumeration date
04/25/2006
Last updated
07/08/2007
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