NPI 1164504403

Danny Joe Roth, CRNAAPN

Practitioner Certified Registered Nurse Anesthetist Fairbanks, AK

Practice location

Address: 1650 Cowles St, Fairbanks, AK 99701-5998
Phone: (907) 388-6852
Mailing address: 2460 Topeka Drive, North Pole, AK 99705-2460

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 384 (AK)

Other Nurse Anesthetist, Certified Registered providers in Alaska →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 12213 (TN)

Registry record

NPI: 1164504403
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Oct 2006
Record last updated: 20 Sep 2023

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.