MS. MICHELLE L ROARK


Address: 3322 Melrose Rd, Fayetteville, NC 28304-1604
Phone: 9106094594

MS. MICHELLE L ROARK (NPI# 1427182492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427182492
Entity Type Individual
Full Name MS. MICHELLE L ROARK
Credential NP, RN
Practice Address 3322 Melrose Rd
Fayetteville
NC 28304-1604
Mailing Address 60 Chesapeake Rd
Cameron
NC 28326-6010
Practice Telephone 9106094594
Enumeration Date 2007-03-14
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
NC Physician Assistants & Advanced Practice Nursing Providers

Other Providers MICHELLE ROARK

NPI Name Taxonomy Address Enumeration
1164863262 Michelle L Roark Midwife 905c S Frontage Rd, Meridian, MS 39301-6113 2013-07-17

Office Location

Street Address 3322 MELROSE RD
City FAYETTEVILLE
State NC
Zip Code 28304-1604

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1538717764 Rose Mary A O'conner Technician 3530 Madison Ave, Fayetteville, NC 28304 2019-08-30
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1780179580 Ma Cornelia Villavicencio Leano Nurse Practitioner 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 2018-06-25
1861986267 Pediatric After Hours Care of Fayetteville Pediatrics 556 Sandhurst Drive, Fayetteville, NC 28304 2018-06-19
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538702170 Maya Tiffany Jacqueline King Nurse Practitioner 105 S Shore Ter, Fayetteville, GA 30214-7399 2019-10-27
1750686762 Angela Marie Guidry Nurse Practitioner 1572 Highway 85 N Ste 203, Fayetteville, GA 30214-7726 2011-01-21
1093964975 Brenda Carole Hayek Nurse Practitioner 735 Glynn Street S, Fayetteville, GA 30215 2008-09-16
1902891450 Phyllis K Marion Nurse Practitioner 1601 Owen Dr, Sr-ahec Specialty Medical Center, Fayetteville, NC 28304-3425 2005-09-12
1891306692 Katlin Lee Yokeley Nurse Practitioner 1540 Purdue Dr Ste 101, Fayetteville, NC 28303-5510 2020-08-14
1912567447 Mallory Washington Nurse Practitioner 101 Yorktown Dr Ste 102, Fayetteville, GA 30214-1578 2019-06-17
1710473111 Cari Addington Nurse Practitioner 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 2018-07-09
1063915049 Alexa M Walker Nurse Practitioner 5617 Ramsey St, Fayetteville, NC 28311 2018-03-15
1801124334 Barbara Jean Chapman-nellis Nurse Practitioner 1235 Ramsey Street, Fayetteville, NC 28301 2009-11-20
1144466921 Katie Jean Poole Nurse Practitioner 509 Sandhurst Dr, Fayetteville, NC 28304-4433 2008-12-27
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Competitor

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City FAYETTEVILLE
Zip Code 28304

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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