MISTY ANGELIQUE ROETZEL NPI 1295131399

NPI Information

Misty Angelique Roetzel is a specialist technologist other in Jacksonville, AR. The provider is general classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. Misty Angelique Roetzel NPI is 1295131399. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2227 W MAIN ST
SUITE 3
JACKSONVILLE, AR
ZIP 72076-207
Phone: (501) 985-9944
Fax: (501) 985-6590

The enumeration date for this NPI number is 11/17/2014 and was last updated on 11/17/2014.

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:

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