Individual provider · Type 1 NPI
Paula Beth Roach, RN CNNP
Critical Care Pediatric Nurse Practitioner · Fort Bragg, NC
NPI number
1003889965
Active
Practice location
Bldg 4-2817 Reilly Road
Fort Bragg, NC 28310-0001
Fax (910) 907-8645
Mailing address
4304 Cricklewood St
Lumberton, NC 28358-2405
Other practice locations
- 300 W 27th St, Lumberton, NC 28358-3075 · (910) 671-5000
- 2131 S 17th St, Wilmington, NC 28401-7407 · (910) 667-4620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 930054 (NC) |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 930054 (NC) |
| Critical Care Pediatric Nurse Practitioner Primary | 363LP0222X | 930054 (NC) |
Critical Care Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1003889965
Paula Beth Roach, RN CNNP's National Provider Identifier is 1003889965, issued on Feb 10, 2006. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Fort Bragg, NC. The record was last updated on Aug 2, 2024.