NPI 1083216543

Penny Roth

Practitioner Licensed Practical Nurse Mandan, ND

Practice location

Address: 1200 Collins Ave, Mandan, ND 58554-2066
Phone: (701) 663-5373

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 0002059986 (VA)

Other Licensed Practical Nurse providers in North Dakota →

Registry record

NPI: 1083216543
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Nov 2020
Record last updated: 10 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.