Individual
KATHRYN RENEE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGACNP-BC
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-4220
(615) 936-9177
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
25030
TN
363LC0200X
Critical Care Medicine Nurse Practitioner
5011672
NC
363LC0200X
Critical Care Medicine Nurse Practitioner
RN293433
GA
363LG0600X
Gerontology Nurse Practitioner
Primary
25030
TN
Other
Enumeration date
09/24/2018
Last updated
07/08/2024
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