Individual
MAGGIE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
908 N HOWARD AVE, GRAND ISLAND, NE 68803-3556
(308) 398-8900
Mailing address
908 N HOWARD AVE STE 105, GRAND ISLAND, NE 68803-3529
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
82107
NE
363LF0000X
Family Nurse Practitioner
Primary
112878
NE
Other
Enumeration date
09/23/2019
Last updated
10/03/2024
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