Individual provider · Type 1 NPI

Theresa L. Roth, RN

Adult Psychiatric/Mental Health Registered Nurse · Fort Wayne, IN

NPI number 1194886697 Active

Practice location

909 E State Blvd
Fort Wayne, IN 46805-3404

Fax (260) 481-2717

Specialties and licenses

TaxonomyCodeLicense
Adult Psychiatric/Mental Health Registered Nurse Primary 163WP0809X28112127A (IN)

Adult Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1194886697

Theresa L. Roth, RN's National Provider Identifier is 1194886697, issued on Dec 12, 2006. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 8, 2007.