Individual
GRETCHEN CLAYTON ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3741 HYDE PARK DR, S, ROANOKE, VA 24018-3029
(540) 493-1015
Mailing address
3741 HYDE PARK DR, S, ROANOKE, VA 24018-3029
(540) 493-1015
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
001713895
VA
Other
Enumeration date
12/01/2005
Last updated
04/19/2012
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