Individual
CASSANDRA ANN ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
505 S PLUMMER AVE, CHANUTE, KS 66720-1950
(620) 431-2500
Mailing address
505 S PLUMMER AVE, CHANUTE, KS 66720-1950
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-82729-022
KS
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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