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Ms. Mary Susan Roach, FNP
Family Nurse Practitioner in Mccall, Idaho
NPI 1437281375

Mary Susan Roach is a Family Nurse Practitioner based in Mccall, ID and is specialized in Family. Mary Susan Roach practices in Mccall, ID and has the professional credentials of FNP. The NPI Number for Mary Susan Roach is 1437281375 and holds a License No. NP 87-A (Idaho).

The current practice location address for Mary Susan Roach is 703 N. 1St Street, Mccall, ID and can be reached out via phone at 208-630-8002 and via fax at 208-634-2174.

Location: 703 N. 1St Street, Mccall, ID, 83638-0470
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437281375
Provider Name
Mary Susan Roach
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
703 N. 1St Street, Mccall, ID, 83638-0470
Phone Number
208-630-8002
Fax Number
208-634-2174
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
703 N. 1St Street
City
Mccall
State
Idaho
Zip
83638-3851
Phone Number
208-630-8002
Fax Number
208-634-2174
person
Provider Business Mailing Address Details
Address
703 N. 1St Street
City
Mccall
State
Idaho
Zip
83638-3851
Phone Number
208-630-8002
Fax Number
208-634-2174
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
NP 87-A (Idaho)
Definition
Definition to come...
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