Amy Diane Roback R.N.

NPI 1740532498 - Registered Nurse - 163W00000X

NPI Details
NPI 1740532498
Gender Female
Enumeration Date 10/04/2012
Last Updated 10/04/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
202 E BAGLEY RD
BEREA OH, 44017-2058, US
Phone (440) 260-8379
Fax (440) 260-8214
Business Location
202 E BAGLEY RD
BEREA OH, 44017-2058, US
Phone (440) 260-8379
Fax (440) 260-8214
Toxanomy
Taxonomy Code 163W00000X
License State Ohio
License Number RN.362097
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According to our database, Ms. Amy Diane Roback R.N. NPI is 1740532498, taxonomy code is 163W00000X and license number is RN.362097, license state is located at Ohio. Amy Diane Roback R.N. physically located at 202 E Bagley Rd, Berea OH, 44017-2058. NPI Number Amy Diane Roback R.N. has the Individual type.

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1740532498 NPI number is provided on an as is basis without warranty of any kind. 1740532498 is maintained by the National Plan & Provider Enumeration System. The contents of Amy Diane Roback R.N. are for informational purposes only.