Colleen Roach, CRNP-F
Nurse Practitioner, Family in Windsor Mill, MD. Individual provider (NPI-1).
NPI number1154772200
StatusActive
Last updated in NPPESJan 9, 2024
Details
- NPI
- 1154772200
- Entity type
- Individual (NPI-1)
- Name
- Colleen Roach
- Credential
- CRNP-F
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2016
- Certification date
- Jan 9, 2024
- Last updated
- Jan 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R046352 | MD | Yes |
Other names
- Colleen Harrison (Former Name)
Practice location
6901 Security Blvd Ste 200Windsor Mill, MD 21244-2412
Phone 410-837-2050 · Fax 410-752-1374
Mailing address
6901 Security Blvd Ste 200Windsor Mill, MD 21244-2412
Phone 410-837-2050 · Fax 410-752-1374
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