person
Shannon L Roach, NP
Family Nurse Practitioner in South Bend, Indiana
NPI 1962125336

Shannon L Roach is a Family Nurse Practitioner based in South Bend, IN and is specialized in Family. Shannon L Roach practices in South Bend, IN and has the professional credentials of NP. The NPI Number for Shannon L Roach is 1962125336 and holds a License No. 28268382A (Indiana).

The current practice location address for Shannon L Roach is 6301 University Commons Ste 310, South Bend, IN and can be reached out via phone at 574-299-2450.

Location: 6301 University Commons Ste 310, South Bend, IN, 46635-1479
person
Provider Profile Details
NPI Number
1962125336
Provider Name
Shannon L Roach
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
6301 University Commons Ste 310, South Bend, IN, 46635-1479
Phone Number
574-299-2450
Fax Number
Provider Enumeration Date
09/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6301 University Commons Ste 310
City
State
Zip
46635-1479
Phone Number
574-299-2450
Fax Number
person
Provider Business Mailing Address Details
Address
6301 University Commons Ste 310
City
State
Zip
46635-1479
Phone Number
574-299-2450
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
28268382A (Indiana)
Definition
Definition to come...
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