Provider Demographics
NPI:1083594014
Name:ROACH, CAYLEN VIRGINIA (RN)
Entity type:Individual
Prefix:
First Name:CAYLEN
Middle Name:VIRGINIA
Last Name:ROACH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7255 E SNYDER RD UNIT 2101
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-6241
Mailing Address - Country:US
Mailing Address - Phone:520-225-9972
Mailing Address - Fax:
Practice Address - Street 1:7255 E SNYDER RD UNIT 2101
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85750-6241
Practice Address - Country:US
Practice Address - Phone:520-225-9972
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ325963163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn