MS. ABBY ROSE ROTH NP-C NPI 1134465065

NPI Information

NPI: 1134465065
Provider Name: MS. ABBY ROSE ROTH, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN
ZIP 55122
Phone: (866) 389-2727
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MS. Abby Rose Roth, NP-C is a family nurse practitioner in Eagan, MN. MS. Abby Rose Roth, NP-C NPI is 1134465065. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4241 JOHNNY CAKE RIDGE RD
EAGAN, MN
ZIP 55122-235
Phone: (866) 389-2727

The enumeration date for this NPI number is 12/20/2012 and was last updated on 12/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R-161224-8	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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