| Doctor Name: | NORA M ROAN |
| NPI Number: | 1053383794 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | |
| Business Practice Address: | 3535 Route 66 Parkway 100 Neptune, NJ - 077532622 |
| Business Phone Number: | 7326434350 |
| Business Fax Number: | 7326434398 |
| Mailing Address: | 3535 Route 66, Parkway 100 NEPTUNE |
| State: | NJ |
| Postal Code: | 077532625 |
| Phone Number: | 7326434350 |
| Fax Number: | 7326434398 |
| NPI Enumeration Date: | 02/06/2006 |
| NPI Last Update Date: | 11/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |