Individual provider · Type 1 NPI

Mandy Jo Roth, DNP, APRN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Arcadia, FL

NPI number 1558056671 Active

Practice location

725 N 12th Ave Bldg B
Arcadia, FL 34266-8752

Fax (863) 491-0466

Mailing address

2015 Grant Pl
Melbourne, FL 32901-5600

Other practice locations

  • 2015 Grant Pl, Melbourne, FL 32901-5600 · (314) 856-2275

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X2023006955 (MO)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN11025764 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1558056671

Mandy Jo Roth, DNP, APRN, PMHNP-BC's National Provider Identifier is 1558056671, issued on Apr 5, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Arcadia, FL. The record was last updated on May 8, 2024.