# JOANNA BELLE ROTH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194975466
- **Gender:** F
- **Credential:** M.S., A.C.N.P.-B.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | 71002933A | IN | — |
| 363L00000X | Nurse Practitioner | 71002933A | IN | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | 71002933A | IN | — |

## Other

- **Enumeration date:** 09/24/2008
- **Last updated:** 02/06/2024