Individual
BARBARA JEAN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 BLAIRS FERRY RD, HIAWATHA, IA 52233-1900
(319) 398-6575
Mailing address
1340 BLAIRS FERRY RD, HIAWATHA, IA 52233-1900
(319) 398-6575
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G176305
IA
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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