Individual
MRS. ANDREA JUNE ROHACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP-AC, APNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
200488-30
WI
363LA2100X
Acute Care Nurse Practitioner
Primary
10543-33
WI
363LP0200X
Pediatric Nurse Practitioner
10543-33
WI
Other
Enumeration date
09/29/2020
Last updated
12/03/2020
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