Individual provider · Type 1 NPI
Diane D. Roth, PSYNP
Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ
NPI number
1093810137
Active
Practice location
1919 E Thomas Rd, Department Of Outpatient Psychiatry
Phoenix, AZ 85016-7710
Fax (602) 933-0401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN037283 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1093810137
Diane D. Roth, PSYNP's National Provider Identifier is 1093810137, issued on Sep 13, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 11, 2013.