Colleen Brynne Roach, | |
601 Childrens Ln, Norfolk, VA 23507-1910 | |
(757) 668-7000 | |
Not Available |
Full Name | Colleen Brynne Roach |
---|---|
Gender | Female |
Speciality | Registered Nurse |
Location | 601 Childrens Ln, Norfolk, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174087399 | NPI | - | NPPES |
NONE | Other | NONE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LN0000X | Nurse Practitioner - Neonatal | 0024180335 (Virginia) | Secondary |
163W00000X | Registered Nurse | 9434989 (Florida) | Primary |
Entity Name | Childrens Specialty Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195 |
Mailing Address | Practice Location Address |
---|---|
Colleen Brynne Roach, 601 Childrens Ln, Norfolk, VA 23507-1971 Ph: () - | Colleen Brynne Roach, 601 Childrens Ln, Norfolk, VA 23507-1910 Ph: (757) 668-7000 |
Ms. Kimberly Nicole Gray, PMHNP-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 825 Fairfax Ave Ste 410, Norfolk, VA 23507 Phone: 757-446-8999 | |
Marissa Seales-ash, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1035 W 25th St Ste B, Norfolk, VA 23517 Phone: 757-962-3262 Fax: 757-962-1625 | |
Jillian Mccann, RN IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4701 Pleasant Ave, Norfolk, VA 23518 Phone: 919-260-3741 | |
Lisa Marie Miller, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7000 | |
Sena Amegbletor, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3014 Dunkirk Ave, Norfolk, VA 23509 Phone: 203-676-0079 | |
Allison Crute, Registered Nurse Medicare: Medicare Enrolled Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-388-3000 | |
Taylor A Robeson, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-388-3000 |