Individual
GINA LOUISE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BC-FNP
Contact information
Practice address
6001 E BROAD ST, COLUMBUS, OH 43213-1502
(330) 907-7264
Mailing address
1981 SUNNY ROCK LN, GROVE CITY, OH 43123-8385
(330) 907-7264
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.020165
OH
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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