Individual
MRS. ALISSA S ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
945 BETHESDA DR STE 130, ZANESVILLE, OH 43701-1880
(740) 454-4004
Mailing address
1460 COLBURN DR, ZANESVILLE, OH 43701-7053
(740) 705-2003
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.17765
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141509
—
OH
Enumeration date
07/23/2015
Last updated
04/27/2021
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