Individual provider · Type 1 NPI
Annie Roque
Pediatric Nurse Practitioner · Oakland, CA
NPI number
1003681727
Active
Practice location
747 52nd St
Oakland, CA 94609-1809
Mailing address
1428 Bonita Ave
Berkeley, CA 94709-1909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 95000457 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1003681727
Annie Roque's National Provider Identifier is 1003681727, issued on Nov 22, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Oakland, CA. The record was last updated on Nov 22, 2023.