Individual provider · Type 1 NPI

Diane Joyce Roark, ACAG-NP

Acute Care Nurse Practitioner · Salem, OH

NPI number 1962388330 Active

Practice location

130 S Broadway Ave
Salem, OH 44460-3002

Mailing address

6859 Fairground Blvd
Canfield, OH 44406-1550

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN420692 (OH)
Acute Care Nurse Practitioner Primary 363LA2100XAPRN.CNP.0039994 (OH)

Acute Care Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1962388330

Diane Joyce Roark, ACAG-NP's National Provider Identifier is 1962388330, issued on Aug 12, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Salem, OH. The record was last updated on Sep 15, 2026.