Individual provider · Type 1 NPI

Joanna Belle Roth, M.S., A.C.N.P.-B.C.

Nurse Practitioner · Goshen, IN

NPI number 1194975466 Active

Practice location

21764 Omega Ct
Goshen, IN 46528-7809

Fax (574) 891-4902

Specialties and licenses

Taxonomy	Code	License
Obesity Medicine (Preventive Medicine) Physician	2083B0002X	71002933A (IN)
Acute Care Nurse Practitioner	363LA2100X	71002933A (IN)
Nurse Practitioner Primary	363L00000X	71002933A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1194975466

Joanna Belle Roth, M.S., A.C.N.P.-B.C.'s National Provider Identifier is 1194975466, issued on Sep 24, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Goshen, IN. The record was last updated on Feb 6, 2024.