Individual
ASHLEY ROARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4225 LAPALCO BLVD, MARRERO, LA 70072-4324
(504) 371-9355
(504) 371-9343
Mailing address
4225 LAPALCO BLVD, MARRERO, LA 70072-4324
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08900
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09388574
—
MS
05
—
2426435
—
LA
Enumeration date
06/27/2016
Last updated
03/16/2022
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