Melinda Marie Roth is a psychiatric/mental health nurse practitioner in Bloomington, IL with 8 years of experience. Melinda Marie Roth NPI is 1154757045. 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:
108 W MARKET ST
BLOOMINGTON, IL
ZIP 61701-918
Phone: (309) 827-5351
Fax: (309) 829-6808
The NPI 1154757045 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/24/2013 and was last updated on 9/14/2020.