SHERENE ANDREA ROACH A.R.N.P. - NPI 1750468922 - Nurse Practitioner in Deland, FL

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

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About Sherene Andrea Roach A.r.n.p. NPPES

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

SHERENE ANDREA ROACH A.R.N.P. (NPI 1750468922) is an individual pediatrics provider in Deland, Florida, licensed in Florida (2994522) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1750468922

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSHERENE ANDREA ROACHCredential: A.R.N.P.

Location Address1190 N STONE STDeland, FL 32720-2511

Mailing Address940 Village Trl Apt 1-205Port Orange, FL 32127-9383 · (386) 453-6490

Phone(386) 738-1792

Fax(386) 738-4865

Sole ProprietorNo

Enumeration DateNovember 1, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1750468922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in FL · 2994522

1190 N STONE ST, Deland, FL 32720

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Other Identifiers 1

Medicaid305843300FL

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CONCEPCION SORILLA ANAYAS M.D.

Pediatrics

1190 N STONE ST
DELAND, FL 32720

Volusia County (386) 738-1792

COMMUNITY MEDICAL CENTER OF WEST VOLUSIA PA

Clinic/Center (Rural Health)

1190 N STONE ST
DELAND, FL 32720

Volusia County (386) 738-1792

COMMUNITY MEDICAL CENTER OF WEST VOLUSIA

Clinic/Center (Rural Health)

1190 N STONE ST
DELAND, FL 32720

Volusia County (386) 738-1792

Frequently Asked Questions

What is Sherene Roach's NPI number?

The NPI number assigned to this healthcare provider is 1750468922, enumerated as an "individual" on November 01, 2006.

Where is the provider located?

The provider is located at 1190 N STONE ST DELAND, FL 32720 and the phone number is (386) 738-1792.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

What insurance does Sherene Roach accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.