Search › Ohio › 363LA2100X
Diane Roark, ACAG-NP
NPI 1962388330 · on the registry since 2025
Practice
- Address
- 130 S Broadway Ave
Salem, OH 44460 - Phone
- (220) 270-6900
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 163W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-09-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio