Roxanne B Gall
Nurse Practitioner
20 Medical Village Dr Suite 394
Edgewood
, Kentucky 41017-5401
Roxanne B Gall
Nurse Practitioner
20 Medical Village Dr Suite 394
Edgewood
, Kentucky 41017-5401
(859) 578-9113
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Roxanne B Gall
- 663 Nelson Pl
- Newport, KY
- Zip : 41071-1742
- Fax : (859) 578-9113
- Phone : (859) 578-0442
Second Address
- Roxanne B Gall
- 20 Medical Village Dr Suite 394
- Edgewood, KY
- Zip : 41017-5401
- Fax : (859) 578-9113
- Phone : (859) 578-0442
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4348P | KY |
National Provider Identifier
| NPI | 1982679676 |
|---|---|
| Provider Name | Roxanne B Gall |
| First Address | Newport, KY 41071-1742 |
| Second Address | Edgewood, KY 41017-5401 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/02/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 78013620 | (05) | KY |
| Q23312 | (02) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.