Individual
NANCY ROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
708 N SHADY RETREAT RD, SUITES 3 AND 4, DOYLESTOWN, PA 18901-2503
(215) 345-6090
(215) 345-6119
Mailing address
708 N SHADY RETREAT RD, SUITES 3 AND 4, DOYLESTOWN, PA 18901-2503
(215) 345-6090
(215) 345-6119
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
UP004021D
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000998
PRESCRIPTION AUTH
PA
01
—
96699
NURSING CERTIFICATE
PA
01
—
RN239457L
RN LICENSE
PA
01
—
UP004021D
CRNP LICENSE
PA
Enumeration date
05/11/2007
Last updated
12/22/2014
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