Individual provider · Type 1 NPI

Abby Rose Roth, NP-C

Family Nurse Practitioner · Eagan, MN

NPI number 1134465065 Active

Practice location

4241 Johnny Cake Ridge Rd
Eagan, MN 55122-2235

Mailing address

2240 E 42nd St
Minneapolis, MN 55407-3049

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR-161224-8 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1134465065

Abby Rose Roth, NP-C's National Provider Identifier is 1134465065, issued on Dec 20, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Eagan, MN. The record was last updated on Dec 20, 2012.