Individual
MS. NANCY A ROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6477 COLLEGE PARK SQ STE 312, VIRGINIA BEACH, VA 23464-3611
(757) 452-6932
(757) 905-4316
Mailing address
540 CONSERVANCY WAY APT 106, CHESAPEAKE, VA 23323-1334
(669) 411-8518
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
453123
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
A03703
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02671052
—
NY
Enumeration date
11/21/2005
Last updated
09/13/2024
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