Most Relevant Information
Provider Data
| NPI Number: | 1003449737 |
| Provider Name: | MICHELLE MAY ROE NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 345613 |
Most Important Dates
| Enumeration Date: | 02/21/2020 |
| Last Updated: | 02/21/2020 |
Provider Practice Location
21 OAKLAND ST
ENGLEWOOD
NJ
076312112
Practice Location Phone/Fax
| Phone: | 9177538013 |
| Fax: |
Provider Mailing Location
21 OAKLAND ST
ENGLEWOOD
NJ
076312112
Provider Mailing Phone/Fax
| Phone: | 9177538013 |
| Fax: |