Individual provider · Type 1 NPI
Elyssa Lynn Roth, CNP
Primary Care Nurse Practitioner · Lima, OH
NPI number
1992410468
Active
Practice location
2195 Allentown Rd
Lima, OH 45805-1705
Mailing address
18906 Bebb St
Venedocia, OH 45894-9646
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse | 163WE0003X | RN.463288 (OH) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | APRN.CNP.0033090 (OH) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1992410468
Elyssa Lynn Roth, CNP's National Provider Identifier is 1992410468, issued on Jan 19, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Lima, OH. The record was last updated on Jan 25, 2023.