Michelle L Roach
Nurse Practitioner - Pediatrics
2401 Gillham Rd
Kansas City
, Missouri 64108-4619
Michelle L Roach
Nurse Practitioner - Pediatrics
2401 Gillham Rd
Kansas City
, Missouri 64108-4619
(816) 983-6633
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Michelle L Roach
- 2401 Gillham Rd
- Kansas City, MO
- Zip : 64108-4619
- Fax : (816) 983-6633
- Phone : (816) 234-3080
Second Address
- Michelle L Roach
- 2401 Gillham Rd
- Kansas City, MO
- Zip : 64108-4619
- Fax : (816) 983-6633
- Phone : (816) 234-3080
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Is Michelle L Roach a sole practitioner?
Is Michelle L Roach accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 121088 | MO |
National Provider Identifier
| NPI | 1013915727 |
|---|---|
| Provider Name | Michelle L Roach |
| First Address | Kansas City, MO 64108-4619 |
| Second Address | Kansas City, MO 64108-4619 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2005 |
| Last Update Date | 23/12/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 073571 | FAMILY HEALTH PARTNERS (01) | |
| 428512339 | (05) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.