Individual provider · Type 1 NPI
Mary Susan Roach, FNP
Family Nurse Practitioner · Mccall, ID
NPI number
1437281375
Active
Practice location
703 N. 1st Street
Mccall, ID 83638-3851
Fax (208) 634-2174
Mailing address
PO Box 470
Mccall, ID 83638-0470
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | NP 87-A (ID) |
Family Nurse Practitioner: Definition to come...
About NPI 1437281375
Mary Susan Roach, FNP's National Provider Identifier is 1437281375, issued on Mar 9, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mccall, ID. The record was last updated on Jul 8, 2007.