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Individual

KRISTEN MARIE ROACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
50 HOSPITAL DR STE 5D, HENDERSONVILLE, NC 28792-5247
(828) 650-8032
(828) 650-8033
Mailing address
PO BOX 1869, FLETCHER, NC 28732-1869
(828) 687-5698

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5019331
NC
363LP0200X
Pediatric Nurse Practitioner
662712
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
662712
TEXAS BOARD OF NURSING
TX
Enumeration date
09/13/2012
Last updated
03/26/2024
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