Individual provider · Type 1 NPI
Shannon Jean Roth, APRN, CNP
Family Nurse Practitioner · Duluth, MN
NPI number
1144208976
Active
Practice location
400 E 3rd St
Duluth, MN 55805-1951
Mailing address
400 East Third Street, MCL2CRED
Duluth, MN 55805-1951
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 3280 (MN) |
| Nurse Practitioner | 363L00000X | R1433638-5 (MN) |
| Nurse Practitioner | 363L00000X | R32669 (ND) |
Family Nurse Practitioner: Definition to come...
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About NPI 1144208976
Shannon Jean Roth, APRN, CNP's National Provider Identifier is 1144208976, issued on Jan 3, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Duluth, MN. The record was last updated on Oct 24, 2018.