Individual provider · Type 1 NPI
Mary Kate Roth, CRNP
Critical Care Medicine Nurse Practitioner · Philadelphia, PA
NPI number
1821784737
Active
Practice location
111 S 11th St
Philadelphia, PA 19107-4824
Mailing address
2518 Christian St
Philadelphia, PA 19146-2314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Nurse Practitioner Primary | 363LC0200X | SP027437 (PA) |
Critical Care Medicine Nurse Practitioner: Definition to come...
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About NPI 1821784737
Mary Kate Roth, CRNP's National Provider Identifier is 1821784737, issued on Apr 13, 2023. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 13, 2023.