MRS. MARY JANE ROTH BSN NPI 1548340268

NPI Information

NPI: 1548340268
Provider Name: MRS. MARY JANE ROTH, BSN
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
2215 FULLER RD
ANN ARBOR, MI
ZIP 48105
Phone: (734) 769-7100
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MRS. Mary Jane Roth, BSN is a psychiatric/mental health registered nurse in Ann Arbor, MI. MRS. Mary Jane Roth, BSN NPI is 1548340268. 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:

2215 FULLER RD
ANN ARBOR, MI
ZIP 48105-335
Phone: (734) 769-7100

The enumeration date for this NPI number is 10/17/2006 and was last updated on 7/8/2007.

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	163WP0808X	Registered Nurse	Psychiatric/Mental Health	4704098180	MICHIGAN	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: 4/28/2024

NPI Synchronization or Removal

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