Individual
ALICIA H. ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(314) 650-8753
Mailing address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(314) 650-8753
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP143656
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
226373
AZ
Other
Enumeration date
10/21/2019
Last updated
04/02/2021
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