Individual
MRS. ANDREA MARIE ROLTGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
17632 N ADVENT LN, HAUSER, ID 83854-5431
(208) 416-1701
(208) 216-1433
Mailing address
17632 N ADVENT LN, HAUSER, ID 83854-5431
(208) 416-1701
(208) 216-1433
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MID-149
ID
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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