Individual
BONNI LYN ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
3471 OHIO RIVER RD, POINT PLEASANT, WV 25550-4401
(304) 857-6494
Mailing address
3741 OHIO RIVER RD, POINT PLEASANT, WV 25550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
103779
WV
Other
Enumeration date
06/19/2019
Last updated
07/05/2023
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