Individual
MR. DANIEL WILLIAM ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
8766 EVAN LILAS ST, LAS VEGAS, NV 89148-5112
(702) 335-7290
Mailing address
8766 EVAN LILAS ST, LAS VEGAS, NV 89148-5112
(702) 335-7290
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
848817
NV
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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