Anna Lee Roth in Flint - Nurse Practitioner

Anna Lee Roth - NPI 1023264041

Anna Lee Roth is a Nurse Practitioner in Flint, Michigan. Anna Lee Roth practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Anna Lee Roth is 1023264041. The last update date is 2017-09-19.

Anna Lee Roth's current location address is 2184 S Ballenger Hwy, Flint, Michigan. You can contact this provider via phone number 8102325627 and fax number 8102328024. The mailing address for Anna Lee Roth is 2184 S Ballenger Hwy, Flint, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Anna Lee Roth
Address 2184 S Ballenger Hwy, Flint, Michigan
Phone Number 8102325627
Fax Number 8102328024
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1023264041
Provider Enumeration Date 2008-08-10
Last Updated Date 2017-09-19

Provider Mailing Address Detail

Address 2184 S Ballenger Hwy
City Flint
State Michigan (MI)
Post Code 485033437
Phone Number 8102325627
Fax Number 8102328024

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 4704296699
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1023264041 MI --

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FAQs about Anna Lee Roth

What is the Anna Lee Roth's unique identification number?

The Anna Lee Roth has been assigned the NPI (National Provider Identifier) Number 1023264041 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Anna Lee Roth is located?

The Anna Lee Roth is situated at the following address: 2184 S Ballenger Hwy, Flint, MI, 485033437.

What is Anna Lee Roth's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Anna Lee Roth is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.

On what date was the 1023264041 assigned to Anna Lee Roth?

The Anna Lee Roth was issued its 1023264041 on 2008-08-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Anna Lee Roth most recently updated or revised?

The information pertaining to Anna Lee Roth, including its address, specialty, and other relevant details, was last updated or revised on 2017-09-19.

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