Individual provider · Type 1 NPI
Beth Lieb Roehm, RN CPNP
Pediatric Nurse Practitioner · St. Louis, MO
NPI number
1235252891
Active
Practice location
1 Childrens Pl
St. Louis, MO 63110-1002
Mailing address
2064 Oak Dr
Des Peres, MO 63131-3917
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 080275 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1235252891
Beth Lieb Roehm, RN CPNP's National Provider Identifier is 1235252891, issued on Apr 9, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on May 18, 2022.