Individual provider · Type 1 NPI
Sandra Nicole Roth, RN
Specialist · Ellenville, NY
NPI number
1336919141
Active
Practice location
979 Ulster Heights Rd
Ellenville, NY 12428-5746
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 2062159261 (NY) |
| Registered Nurse | 163W00000X | 834387 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2 other providers at this address
Other specialist providers in Ellenville
About NPI 1336919141
Sandra Nicole Roth, RN's National Provider Identifier is 1336919141, issued on Jan 3, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ellenville, NY. The record was last updated on Aug 4, 2026.