Individual
KRISTEN MARIA ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-3477
(937) 641-5410
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-5072
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.16969
OH
367500000X
Certified Registered Nurse Anesthetist
RN.352940-COA1
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117277
—
OH
Enumeration date
01/13/2015
Last updated
10/14/2023
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