Individual provider · Type 1 NPI
Clarice Roth, ANP-C
Adult Health Nurse Practitioner · Winston-Salem, NC
NPI number
1548302292
Active
Practice location
Lower Level Reynolds Gym-Wingate Road, Wingate Road
Winston-Salem, NC 27109
Fax (336) 758-6054
Mailing address
PO Box 398
Germanton, NC 27019-0398
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 21960 (NC) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1548302292
Clarice Roth, ANP-C's National Provider Identifier is 1548302292, issued on Feb 12, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Winston-Salem, NC. The record was last updated on Mar 7, 2023.