Individual
ANNA LEE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8435 HOLLY RD, GRAND BLANC, MI 48439-1812
(810) 232-5627
(810) 232-8024
Mailing address
3495 S CENTER RD, BURTON, MI 48519-1455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704296699
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023264041
—
MI
Enumeration date
08/10/2008
Last updated
06/27/2025
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