Individual provider · Type 1 NPI
Sandra Elaine Roth, NP
Women's Health Nurse Practitioner · Monterey, IN
NPI number
1619034592
Active
Practice location
6194 E Main St
Monterey, IN 46960-9297
Fax (574) 542-2996
Mailing address
701 N Monticello St
Winamac, IN 46996-1138
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | 7100817A (IN) |
Women's Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1619034592
Sandra Elaine Roth, NP's National Provider Identifier is 1619034592, issued on Jan 2, 2007. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Monterey, IN. The record was last updated on Jul 8, 2007.