Individual
MS. ABBY ROSE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4241 JOHNNY CAKE RIDGE RD, EAGAN, MN 55122-2235
(866) 389-2727
Mailing address
2240 E 42ND ST, MINNEAPOLIS, MN 55407-3049
(507) 269-4279
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R-161224-8
MN
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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