Individual
ELENA M. ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
8146 HAMILTON AVE, CINCINNATI, OH 45231-2324
(513) 588-3623
(513) 728-4064
Mailing address
8146 HAMILTON AVE, CINCINNATI, OH 45231-2324
(513) 588-3623
(513) 728-4064
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP-12913
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057745
—
OH
01
—
NP12913
OH LICENSE
OH
Enumeration date
11/10/2011
Last updated
01/14/2014
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