Individual provider · Type 1 NPI
Laura Roettger, CPNP
Pediatric Nurse Practitioner · Drexel Hill, PA
NPI number
1336394972
Active
Practice location
2100 Keystone Ave, Suite 404
Drexel Hill, PA 19026-1129
Mailing address
104 Pine Valley Dr
Medford, NJ 08055-9214
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP010065 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1336394972
Laura Roettger, CPNP's National Provider Identifier is 1336394972, issued on Nov 24, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Drexel Hill, PA. The record was last updated on Aug 23, 2020.