Individual
ELIZABETH ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
715 S 8TH ST, MINNEAPOLIS, MN 55404-1210
(612) 873-3000
Mailing address
4630 BEACON HILL RD, EAGAN, MN 55122-2705
(262) 370-5689
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2029539
MN
363LF0000X
Family Nurse Practitioner
Primary
8071
MN
Other
Enumeration date
02/25/2021
Last updated
03/11/2021
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