Wanda Kay Roark in Brownwood - Family

Wanda Kay Roark - NPI 1134332117

Wanda Kay Roark is a Family in Brownwood, Texas. Wanda Kay Roark practices all healthcare services and medical treatments related to Family. The NPI Number for Wanda Kay Roark is 1134332117. The last update date is 2022-07-21.

Wanda Kay Roark's current location address is 1604 14th St, Brownwood, Texas. You can contact this provider via phone number 3256465296 and fax number 3256465820. The mailing address for Wanda Kay Roark is 1604 14th St, Brownwood, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Wanda Kay Roark
Address 1604 14th St, Brownwood, Texas
Phone Number 3256465296
Fax Number 3256465820
Sole Proprietor N
Credentials RN, FNP-BC

NPI Number Detail

NPI Number 1134332117
Provider Enumeration Date 2007-05-07
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 1604 14th St
City Brownwood
State Texas (TX)
Post Code 768015314
Phone Number 3256465296
Fax Number 3256465820

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 675522
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Wanda Kay Roark

What is the unique identifier code issued to Wanda Kay Roark by the Centers for Medicare & Medicaid Services (CMS)?

The Wanda Kay Roark has been assigned the NPI (National Provider Identifier) 1134332117. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Wanda Kay Roark is physically located?

The Wanda Kay Roark is situated at the following address: 1604 14Th St, Brownwood, TX 768015314.

What is the area of specialization for Wanda Kay Roark, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Wanda Kay Roark is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1134332117 to Wanda Kay Roark?

The Wanda Kay Roark received its 1134332117 assignment from the Centers for Medicare & Medicaid Services on 2007-05-07.

When was the information related to Wanda Kay Roark most recently updated or refreshed?

The details pertaining to the Wanda Kay Roark, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.

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