Individual provider · Type 1 NPI
Suzanne Fair Roth, NURSE PRACTITIONER
Family Nurse Practitioner · San Diego, CA
NPI number
1316906076
Active
Practice location
1501 Front St, 643
San Diego, CA 92101-2973
Mailing address
PO Box 81524
San Diego, CA 92138-1524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 14948 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | RN 252378 (CA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1316906076
Suzanne Fair Roth, NURSE PRACTITIONER's National Provider Identifier is 1316906076, issued on Mar 21, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Diego, CA. The record was last updated on Aug 9, 2013.