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Individual

CHELSEA ROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
150 W 100 N # N-101, VERNAL, UT 84078-2036
(435) 781-6300
(435) 781-6301
Mailing address
2458 W 630 N, VERNAL, UT 84078-4855
(435) 630-4100

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8202085-4405
UT

Other

Enumeration date
08/12/2022
Last updated
04/09/2024
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