Renee Ann Roth, NP
Nurse Practitioner, Family in Columbus, KS. Individual provider (NPI-1).
NPI number1831829068
StatusActive
Last updated in NPPESSep 18, 2023
Details
- NPI
- 1831829068
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Renee Ann Roth
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2022
- Certification date
- Sep 18, 2023
- Last updated
- Sep 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 53-82256-022 | KS | Yes |
| 163W00000X | Registered Nurse | 14-150198-022 | KS |
Practice location
915 W Maple StColumbus, KS 66725-1508
Phone 471-310-9286
Mailing address
2699 Ne Lawton RdColumbus, KS 66725-2078
Phone 620-762-1081
Other practice locations
2699 Ne Lawton Rd
Columbus, KS 66725-2078
Columbus, KS 66725-2078
Phone 620-762-1081
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