Individual
ERICA L ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
818 N EMPORIA ST STE 310, WICHITA, KS 67214-3727
(316) 263-5891
Mailing address
818 N EMPORIA ST STE 310, WICHITA, KS 67214-3727
(316) 263-5891
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
53-79156-031
KS
Other
Enumeration date
12/17/2019
Last updated
03/30/2021
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