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Individual

MARY ROERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
461 21ST AVE S, NASHVILLE, TN 37240-1104
(615) 322-4400
Mailing address
834 HEBERTON ST, PITTSBURGH, PA 15206-2228
(201) 895-3654

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15459600
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN726033
PA

Other

Enumeration date
06/26/2025
Last updated
02/20/2026
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