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Annie Roque
Pediatric Nurse Practitioner in Oakland, California
NPI 1003681727

Annie Roque is a Pediatric Nurse Practitioner based in Berkeley, CA and is specialized in Pediatrics. Annie Roque practices in Oakland, CA. The NPI Number for Annie Roque is 1003681727 and holds a License No. 95000457 (California).

The current practice location address for Annie Roque is 747 52Nd St, Oakland, CA and can be reached out via phone at 510-428-4418.

Location: 747 52Nd St, Oakland, CA, 94709-1909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003681727
Provider Name
Annie Roque
Credential
Provider Entity Type
Individual
Gender
Female
Address
747 52Nd St, Oakland, CA, 94709-1909
Phone Number
510-428-4418
Fax Number
Provider Enumeration Date
11/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
747 52Nd St
City
Oakland
State
California
Zip
94609-1809
Phone Number
510-428-4418
Fax Number
person
Provider Business Mailing Address Details
Address
747 52Nd St
City
Oakland
State
California
Zip
94609-1809
Phone Number
510-428-4418
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
95000457 (California)
Definition
Definition to come...
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