Susan C Roth is a Registered Nurse in Bloomsburg, Pennsylvania. Susan C Roth practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Susan C Roth is 1669652236. The last update date is 2007-11-14.
Susan C Roth's current location address is 410 Glenn Ave, Bloomsburg, Pennsylvania. You can contact this provider via phone number 5707841723 and fax number 5707848512. The mailing address for Susan C Roth is 410 Glenn Ave, Bloomsburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan C Roth |
|---|---|
| Address | 410 Glenn Ave, Bloomsburg, Pennsylvania |
| Phone Number | 5707841723 |
| Fax Number | 5707848512 |
| Sole Proprietor | Y |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1669652236 |
|---|---|
| Provider Enumeration Date | 2007-11-12 |
| Last Updated Date | 2007-11-14 |
Provider Mailing Address Detail
| Address | 410 Glenn Ave |
|---|---|
| City | Bloomsburg |
| State | Pennsylvania (PA) |
| Post Code | 178151200 |
| Phone Number | 5707841723 |
| Fax Number | 5707848512 |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | RN240439L |
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Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101087458 0002 | PA | -- | |
| 100746682 0006 | PA | -- |
Post Comment/ Review Below
What is the Susan C Roth's 1669652236?
The Susan C Roth's NPI (National Provider Identifier) Number is 1669652236. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Susan C Roth is geographically located?
The Susan C Roth is physically situated at the following location: 410 Glenn Ave, Bloomsburg, PA, 178151200.
What is Susan C Roth's area of expertise and its corresponding taxonomy classification?
The Susan C Roth's field of specialization is Registered Nurse, and it falls under the taxonomy code 163W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1669652236 to Susan C Roth?
The Susan C Roth received its 1669652236 assignment from the Centers for Medicare & Medicaid Services on 2007-11-12.
When was the Susan C Roth's information last updated?
The Susan C Roth's information was last updated on 2007-11-14.