WILLIAM ROESCH RN FNP DC NPI 1417148073

NPI Information

William Roesch, RN FNP DC is a family nurse practitioner in Santa Cruz, CA with 43 years of experience. William Roesch, RN FNP DC NPI is 1417148073. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1400 EMELINE AVE
SANTA CRUZ, CA
ZIP 95060-976
Phone: (831) 454-4170
Fax: (831) 454-4663

The NPI 1417148073 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/7/2007 and was last updated on 11/17/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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