Individual
JOANNA BELLE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., A.C.N.P.-B.C.
Contact information
Practice address
21764 OMEGA CT, GOSHEN, IN 46528-7809
(574) 891-4920
(574) 891-4902
Mailing address
21764 OMEGA CT, GOSHEN, IN 46528-7809
(574) 891-4920
(574) 891-4902
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
71002933A
IN
363L00000X
Nurse Practitioner
Primary
71002933A
IN
363LA2100X
Acute Care Nurse Practitioner
71002933A
IN
Other
Enumeration date
09/24/2008
Last updated
02/06/2024
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