Individual provider · Type 1 NPI
Ryan L. Roth, APRN
Nurse Practitioner · Higganum, CT
Practice location
415 Killingworth Rd
Higganum, CT 06441-4370
Fax (860) 345-8678
Mailing address
500 Albany Ave
Hartford, CT 06120-2508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian | 133V00000X | 994473 (CT) |
| Registered Nurse | 163W00000X | RN2284731 (MA) |
| Family Nurse Practitioner | 363LF0000X | 5832 (CT) |
| Nurse Practitioner Primary | 363L00000X | 5832 (CT) |
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 1225453517
Ryan L. Roth, APRN's National Provider Identifier is 1225453517, issued on Feb 24, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Higganum, CT. The record was last updated on Oct 17, 2019.