Individual provider · Type 1 NPI
Carolyn Roth, N.P.
Nurse Practitioner · Bloomington, IL
Practice location
1701 E College Ave
Bloomington, IL 61704-2101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209000155 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1679609630
Carolyn Roth, N.P.'s National Provider Identifier is 1679609630, issued on Feb 26, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bloomington, IL. The record was last updated on Nov 20, 2009.