Individual
CANDY E. ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
210 BROOKS ST, SUITE 200, CHARLESTON, WV 25301-1855
(304) 388-1930
(304) 388-1929
Mailing address
210 BROOKS ST 200, CHARLESTON, WV 25301-1848
(304) 388-1930
(304) 388-1929
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
58240
WV
Other
Enumeration date
10/28/2010
Last updated
12/21/2015
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