Healthcare Provider Details

I. General information

NPI: 1013762640
Provider Name (Legal Business Name): ROXANNE MARIE ALBERT CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2024
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 ASHVILLE AVE
CARY NC
27518-6660
US

IV. Provider business mailing address

226 ASHVILLE AVE STE 20
CARY NC
27518-6660
US

V. Phone/Fax

Practice location:
  • Phone: 516-503-0513
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number317195
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number1005
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: