Individual provider · Type 1 NPI
Kacie Roth, CNP
Psychiatric/Mental Health Nurse Practitioner · Minneapolis, MN
NPI number
1801419700
Active
Practice location
2450 Riverside Ave
Minneapolis, MN 55454-1450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 2413226 (MN) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 8473 (MN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1801419700
Kacie Roth, CNP's National Provider Identifier is 1801419700, issued on May 26, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Minneapolis, MN. The record was last updated on Nov 17, 2021.