Individual
SUSAN J ROKISKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
5425 SETTER RD, ROANOKE, VA 24012-8549
(540) 977-2308
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001069155
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024069155
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010036640
—
VA
05
—
010036666
—
VA
05
—
010036674
—
VA
05
—
010036682
—
VA
05
—
010036685
—
VA
Enumeration date
06/23/2006
Last updated
05/07/2008
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