Provider Demographics
NPI:1740609650
Name:PLAYSO, ROXANNE
Entity type:Individual
Prefix:MRS
First Name:ROXANNE
Middle Name:
Last Name:PLAYSO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 N THOMPSON LN STE E
Mailing Address - Street 2:
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642-9305
Mailing Address - Country:US
Mailing Address - Phone:724-382-4941
Mailing Address - Fax:724-590-5121
Practice Address - Street 1:25 N THOMPSON LN STE E
Practice Address - Street 2:
Practice Address - City:NORTH HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642-9305
Practice Address - Country:US
Practice Address - Phone:724-382-4941
Practice Address - Fax:724-590-5121
Is Sole Proprietor?:No
Enumeration Date:2014-04-08
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA056294363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical