Individual
MRS. KATELYN MARIE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN APRN AGCNS-BC
Contact information
Practice address
1500 RED RIVER ST, AUSTIN, TX 78701-1918
(512) 324-7000
Mailing address
1114 LINDEN ST BLDG 1, AUSTIN, TX 78702-3045
(763) 438-3544
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
30810
TX
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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