Individual provider · Type 1 NPI
Melinda M. Roth, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Crandon, WI
NPI number
1154757045
Active
Practice location
3144 Vanzile Rd
Crandon, WI 54520-8149
Fax (715) 478-5904
Mailing address
1100 Beech St Bldg 10
Normal, IL 61761-1493
Other practice locations
- 1100 Beech St Bldg 10, Normal, IL 61761-1493 · (309) 463-5800
- 108 W Market St, Bloomington, IL 61701-3918 · (309) 827-5351
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209010719 (IL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 277000959 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
14 other providers at this address
- Sokaogon Chippewa CommunityFederally Qualified Health Center (FQHC) Crandon, WI NPI 1033115456
- Sokaogon Chippewa CommunityClinic Pharmacy Crandon, WI NPI 1851902399
- Abigail B. Ashbeck, LCSWClinical Social Worker Crandon, WI NPI 1437827441
- Courtney Schwefel, RNRegistered Nurse Crandon, WI NPI 1811713001
- David R. Kaufman Jr., RPHPharmacist Crandon, WI NPI 1558379438
- Gary M. Pusateri, MDGeneral Practice Physician Crandon, WI NPI 1851383525
- Jamie Dean Bauknecht, LPNLicensed Practical Nurse Crandon, WI NPI 1689169492
- Jolene A. Derfus, SAC-ITAddiction (Substance Use Disorder) Counselor Crandon, WI NPI 1598336620
- Kristen Radloff, FNP, APNPFamily Nurse Practitioner Crandon, WI NPI 1003261215
- Lana Winter, SACAddiction (Substance Use Disorder) Counselor Crandon, WI NPI 1770978173
- Richard Arthur Brandner, MDFamily Medicine Physician Crandon, WI NPI 1598954398
- Stephanie Marie Coons, DSWClinical Social Worker Crandon, WI NPI 1467733576
Other psychiatric/mental health nurse practitioner providers in Crandon
About NPI 1154757045
Melinda M. Roth, PMHNP's National Provider Identifier is 1154757045, issued on Sep 24, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Crandon, WI. The record was last updated on Sep 1, 2022.