Individual
KATHRINE D ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
120 GARFIELD AVE, EVANSVILLE, WI 53536-1113
(608) 882-4761
Mailing address
120 GARFIELD AVE, EVANSVILLE, WI 53536-1113
(608) 882-4761
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
570
WI
Other
Enumeration date
03/30/2006
Last updated
11/02/2021
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