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Gavin Roache, NP
Family Nurse Practitioner in Harrisburg, Pennsylvania
NPI 1023425600

Gavin Roache is a Family Nurse Practitioner based in Harrisburg, PA and is specialized in Family. Gavin Roache practices in Harrisburg, PA and has the professional credentials of NP. The NPI Number for Gavin Roache is 1023425600 and holds a License No. SP021669 (Pennsylvania).

The current practice location address for Gavin Roache is 111 S Front St, Harrisburg, PA and can be reached out via phone at 717-782-3131.

Location: 111 S Front St, Harrisburg, PA, 17101-2010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023425600
Provider Name
Gavin Roache
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
111 S Front St, Harrisburg, PA, 17101-2010
Phone Number
717-782-3131
Fax Number
Provider Enumeration Date
07/16/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016388100 05 FL
institution
Provider Business Practice Location Address Details
Address
111 S Front St
City
Harrisburg
State
Pennsylvania
Zip
17101-2010
Phone Number
717-782-3131
Fax Number
person
Provider Business Mailing Address Details
Address
111 S Front St
City
Harrisburg
State
Pennsylvania
Zip
17101-2010
Phone Number
717-782-3131
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
APRN11004127 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP021669 (Pennsylvania)
Definition
Definition to come...
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