Ms Mary Susan Roach, FNP | |
703 N. 1st Street, Mccall, ID 83638-3851 | |
(208) 630-8002 | |
(208) 634-2174 |
Full Name | Ms Mary Susan Roach |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 703 N. 1st Street, Mccall, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437281375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP 87-A (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Mary Susan Roach, FNP Po Box 470, Mccall, ID 83638-0470 Ph: (208) 634-2174 | Ms Mary Susan Roach, FNP 703 N. 1st Street, Mccall, ID 83638-3851 Ph: (208) 630-8002 |
Katherine Louise Ferguson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 498 Boydstun St., Mccall, ID 83638 Phone: 208-724-4145 | |
Angela Butti, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 321 N 3rd St Ste 207, Mccall, ID 83638 Phone: 208-391-6150 |