Individual
THERESIA LYNN ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
180 COX CREEK PKWY S STE B, FLORENCE, AL 35630-3263
(256) 760-0422
(256) 284-6065
Mailing address
PO BOX 18428, HUNTSVILLE, AL 35804-8428
(256) 705-4224
(256) 705-4135
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-092699
AL
363LF0000X
Family Nurse Practitioner
Primary
3-000314
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326373861
GROUP NPI
AL
05
—
242535
—
AL
Enumeration date
01/05/2015
Last updated
03/10/2026
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