| Doctor Name: | MRS. PAULA BETH ROACH |
| NPI Number: | 1003889965 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN CNNP |
| License Number: | 930054 |
| Business Practice Address: | Bldg 4-2817 Reilly Road Fort Bragg, NC - 283100001 |
| Business Phone Number: | 9109077626 |
| Business Fax Number: | 9109078645 |
| Mailing Address: | 4304 Cricklewood St, LUMBERTON |
| State: | NC |
| Postal Code: | 283582405 |
| Phone Number: | 9106719289 |
| Fax Number: | |
| NPI Enumeration Date: | 02/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LN0005X |
| License Number: | 930054 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Neonatal, Critical Care |
| Taxonomy Definition: | |