DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ABIGAIL JOANN GLENZEL ROACH CRNP

MEDICARE: ABIGAIL JOANN GLENZEL ROACH CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse PractitionerSP015379PA
2363LA2200XAdult Health Nurse PractitionerSP015379PA

General Provider Information

NPI Number : 1265888549
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL JOANN GLENZEL ROACH CRNP
Provider Business Mailing Address
First Line : 3400 SPRUCE STREET
Second Line : GROUND FLOOR RAVDIN
City : PHILADELPHIA
State : PA
Zip : 19104
Country : US
Telephone Number : 215-600-5535
Fax Number :
Provider Business Practice Location Address
First Line : 3400 SPRUCE STREET
Second Line : GROUND FLOOR RAVDIN
City : PHILADELPHIA
State : PA
Zip : 19104
Country : US
Telephone Number : 215-600-5535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2016
Last Update Date : 07/21/2022

Similar Medicare Providers

1275488769 — RAHI AMITBHAI SHAH PA-C
Practice Location Address:
3141 CHESTNUT ST # 212
PHILADELPHIA, PA
19104-2816
Practice Phone: 678-646-8666
Practice Fax:
1851246342 — BRANDI CANADY
Practice Location Address:
60 N 36TH ST
PHILADELPHIA, PA
19104-5639
Practice Phone: 215-895-2000
Practice Fax:
1003761487 — BARBARA ELIZABETH SAVAGE
Practice Location Address:
60 N 36TH ST
PHILADELPHIA, PA
19104-5639
Practice Phone: 215-895-2000
Practice Fax:
1891640272 — MEREDITH SIMPSON
Practice Location Address:
3535 MARKET ST
PHILADELPHIA, PA
19104-3309
Practice Phone: 215-732-6308
Practice Fax:
1396690699 — ASHLEY SAAKE
Practice Location Address:
60 N 36TH ST
PHILADELPHIA, PA
19104-5639
Practice Phone: 678-790-3834
Practice Fax:
1699620914 — BRIELLE SAUNDERSON
Practice Location Address:
60 N 36TH ST
PHILADELPHIA, PA
19104-5639
Practice Phone: 215-895-2000
Practice Fax:
1174478408 — ZALAYA JOHNSON
Practice Location Address:
60 N 36TH ST
PHILADELPHIA, PA
19104-5639
Practice Phone: 610-800-6196
Practice Fax:

Directions to “ ABIGAIL JOANN GLENZEL ROACH CRNP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.