Individual
MS. MICHELLE L ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, RN
Contact information
Practice address
3322 MELROSE RD, FAYETTEVILLE, NC 28304-1604
(910) 609-4594
Mailing address
60 CHESAPEAKE RD, CAMERON, NC 28326-6010
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
NC
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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