Individual
MRS. CAROLYN IRENE ROE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N. P.
Contact information
Practice address
2231 CATLIN AVE, SUPERIOR, WI 54880-5137
(715) 394-4117
Mailing address
2210 W 7TH ST, DULUTH, MN 55806-1535
(218) 722-9485
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2291-033
WI
363LF0000X
Family Nurse Practitioner
R 088575-9
MN
363LF0000X
Family Nurse Practitioner
Primary
—
WI
Other
Enumeration date
12/01/2005
Last updated
07/08/2007
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