AMANDA R ROARK

JOHNSON CITY, TN
NPI1386975738
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  82957)
Enumeration Date2010-01-26
Last Update Date2019-04-25
Business Address
AMANDA R ROARK CRNA
601 MED TECH PKWY
JOHNSON CITY, TN 37604-2253
Phone number: 423-610-1020
Mailing Address
AMANDA R ROARK CRNA
1009 LARK ST STE 2
JOHNSON CITY, TN 37604-8218
Phone number: 423-844-2686