Individual provider · Type 1 NPI

Kathryn Jill Roth, FNP-C

Family Nurse Practitioner · Pocatello, ID

NPI number 1467893289 Active

Practice location

1800 Flandro Dr, Ste 110
Pocatello, ID 83202-4936

Fax (208) 904-1052

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNP-1287A (ID)

Family Nurse Practitioner: Definition to come...

16 other providers at this address

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About NPI 1467893289

Kathryn Jill Roth, FNP-C's National Provider Identifier is 1467893289, issued on Jul 9, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pocatello, ID. The record was last updated on Aug 8, 2018.