Individual provider · Type 1 NPI
Anna Lee Roth, NP
Nurse Practitioner · Grand Blanc, MI
Practice location
8435 Holly Rd
Grand Blanc, MI 48439-1812
Fax (810) 232-8024
Mailing address
3495 S Center Rd
Burton, MI 48519-1455
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704296699 (MI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1023264041
Anna Lee Roth, NP's National Provider Identifier is 1023264041, issued on Aug 10, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grand Blanc, MI. The record was last updated on Jun 27, 2025.