Individual provider · Type 1 NPI

Ellen Marie Roth, C.R.N.A.

Certified Registered Nurse Anesthetist · Fontana, CA

NPI number 1093885253 Active

Practice location

9961 Sierra Ave, Anesthesia Department
Fontana, CA 92335-6720

Call (909) 427-7162 Map

Mailing address

475 E Cypress Ave, Apt. #302
Redlands, CA 92373-6169

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X436360 (CA)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1093885253

Ellen Marie Roth, C.R.N.A.'s National Provider Identifier is 1093885253, issued on Nov 8, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Fontana, CA. The record was last updated on Jul 8, 2007.