Provider Demographics
NPI:1548588981
Name:MIHAL, ROXANNE E (DNP)
Entity Type:Individual
Prefix:DR
First Name:ROXANNE
Middle Name:E
Last Name:MIHAL
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 CONSTITUTION AVE
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02351-2308
Mailing Address - Country:US
Mailing Address - Phone:781-857-2935
Mailing Address - Fax:
Practice Address - Street 1:24 CONSTITUTION AVE
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:MA
Practice Address - Zip Code:02351-2308
Practice Address - Country:US
Practice Address - Phone:781-857-2935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-10
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA129826363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health