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Contact Information

JOANNA B ROTH, M.S., A.C.N.P.-B.C.
21764 OMEGA CT
GOSHEN, IN46528-7809
 Phone: 574-891-4920
 Fax: 574-891-4902
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Obesity Medicine

2083B0002X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for JOANNA B ROTH · (Female)

NPI Number 1194975466
Status Active
Credentials M.S., A.C.N.P.-B.C.
Entity Individual
Enumeration date 09/24/2008
Last updated 02/06/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 71002933A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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