Provider Demographics
NPI:1154516524
Name:ROESLER, DAVID EDMUND SR (NP)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:EDMUND
Last Name:ROESLER
Suffix:SR
Gender:M
Credentials:NP
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10009 ROANOKE DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-7823
Mailing Address - Country:US
Mailing Address - Phone:615-849-9563
Mailing Address - Fax:
Practice Address - Street 1:983 NISSAN DR
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-4405
Practice Address - Country:US
Practice Address - Phone:615-459-1944
Practice Address - Fax:615-459-1898
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN130375363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health