Individual
FLORENCE C ROQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CPNP
Contact information
Practice address
1020 S 8TH ST, SUITE A, DEMING, NM 88030-4007
(575) 936-4350
(575) 936-4351
Mailing address
1020 S 8TH ST, SUITE A, DEMING, NM 88030-4007
(575) 936-4350
(575) 936-4351
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP-01614
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5558582
—
NM
05
—
965048
—
AZ
Enumeration date
10/23/2006
Last updated
10/21/2021
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