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MS. MARY SUSAN ROACH FNP
NPI 1437281375
Nurse Practitioner - Family in Mccall, ID

Active since March 09, 2007
703 N. 1ST STREET, MCCALL, ID 83638(208) 630-8002(208) 634-2174 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mary Susan Roach Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARY SUSAN ROACH FNP (NPI 1437281375) is an individual family provider in Mccall, Idaho, licensed in Idaho (NP 87-A) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1437281375
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MARY SUSAN ROACHCredential: FNP
Location Address703 N. 1ST STREETMccall, ID 83638-3851
Mailing AddressPo Box 470Mccall, ID 83638-0470 · (208) 634-2174
Phone(208) 630-8002
Fax(208) 634-2174
Sole ProprietorNo
Enumeration DateMarch 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1437281375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ID · NP 87-A
703 N. 1ST STREET, Mccall, ID 83638
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Roach's NPI number?

The NPI number for Mary Roach is 1437281375. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Mary Roach located?

Mary Roach practices at 703 N. 1st Street, Mccall, ID 83638. The listed phone number is (208) 630-8002.

What is Mary Roach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mary Roach was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.