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NPI Code Detail

MEDICARE: MRS. MARYANN B. ROIK MSN, FNP-BC

MEDICARE: MRS. MARYANN B. ROIK MSN, FNP-BC
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
1363LF0000XFamily Nurse Practitioner005691CT

General Provider Information

NPI Number : 1912333857
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARYANN B. ROIK MSN, FNP-BC
Provider Business Mailing Address
First Line : PO BOX 201
Second Line :
City : LINCROFT
State : NJ
Zip : 07738-0201
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 381 HIGH RIDGE RD
Second Line :
City : STAMFORD
State : CT
Zip : 06905-3018
Country : US
Telephone Number : 203-977-5303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2013
Last Update Date : 08/21/2014

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