Individual provider · Type 1 NPI
Carly Roskop
Family Nurse Practitioner · Manchester, IA
NPI number
1083096663
Active
Practice location
709 W Main St
Manchester, IA 52057-1526
Mailing address
3701 Katz Dr
Marion, IA 52302-3871
Other practice locations
- 3701 Katz Dr, Marion, IA 52302-3871 · (319) 373-3022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | A129749 (IA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1083096663
Carly Roskop's National Provider Identifier is 1083096663, issued on Jun 19, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Manchester, IA. The record was last updated on Oct 28, 2020.