Individual
MRS. EMILY T ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1209 W TARGET RANGE RD, NOGALES, AZ 85621-2466
(520) 761-2133
(520) 281-1112
Mailing address
825 N GRAND AVE STE 100, NOGALES, AZ 85621-1061
(520) 761-2133
(520) 281-1112
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP9710
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223392
—
AZ
Enumeration date
02/05/2014
Last updated
07/21/2022
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