Destiny Roach
Destiny Roach is a Registered Nurse in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.
- Licensed in
- WI
- In the registry since
- 2016
Practice location Address checks out
4705 Cottage Grove Rd Apt 210Madison, WI 53716-1339
Phone: (608) 335-8530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 225106 (WI) |
|---|
Record details
| NPI number | 1902352529 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 1, 2016 |
| Last updated in NPPES | September 1, 2016 |
| Mailing address | 4705 Cottage Grove Rd. Apt 210, Madison, WI 53714 |
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