Individual
DR. DANIELLE MARIE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34225 N 27TH DR STE 146, PHOENIX, AZ 85085-6090
(602) 832-7238
Mailing address
34225 N 27TH DR STE 146, PHOENIX, AZ 85085-6090
(602) 832-7238
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
298571
AZ
Other
Enumeration date
02/03/2023
Last updated
01/12/2024
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