Individual provider · Type 1 NPI
Diane Roth, RN
General Practice Registered Nurse · St. Louis, MO
NPI number
1790916864
Active
Practice location
1465 S Grand Blvd
St. Louis, MO 63104-1003
Fax (314) 268-2798
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 066206 (MO) |
General Practice Registered Nurse: Definition to come...
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About NPI 1790916864
Diane Roth, RN's National Provider Identifier is 1790916864, issued on Aug 6, 2009. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 6, 2009.