Individual
DIANE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3440 BURNETT AVE., STE. 120, CINCINNATI, OH 45229-2833
(513) 751-5900
(513) 487-4596
Mailing address
4600 WESLEY AVENUE, STE. N, CINCINNATI, OH 45212-2274
(513) 569-6422
(513) 569-5084
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NM02342
OH
367A00000X
Advanced Practice Midwife
RN209167
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0801850
—
OH
05
—
78009529
—
KY
Enumeration date
06/07/2006
Last updated
01/12/2011
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