Individual
RACHEL ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
12266 DE PAUL DR STE 305, BRIDGETON, MO 63044-2514
(314) 770-0991
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2016009384
MO
Other
Enumeration date
06/14/2016
Last updated
11/20/2023
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