Theresa L Roth in Fort Wayne - Psychiatric/mental Health, Adult
Theresa L Roth - NPI 1194886697
Theresa L Roth is a Psychiatric/mental Health, Adult in Fort Wayne, Indiana. Theresa L Roth practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Theresa L Roth is 1194886697. The last update date is 2007-07-08.
Theresa L Roth's current location address is 909 E State Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604812700 and fax number 2604812717. The mailing address for Theresa L Roth is 909 E State Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa L Roth |
|---|---|
| Address | 909 E State Blvd, Fort Wayne, Indiana |
| Phone Number | 2604812700 |
| Fax Number | 2604812717 |
| Sole Proprietor | N |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1194886697 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 909 E State Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468053404 |
| Phone Number | 2604812700 |
| Fax Number | 2604812717 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health, Adult |
|---|---|
| Taxonomy | 163Wp0809X |
| Licence No | 28112127A |
|
Definition: A psychiatric nurse who cares for adult patients. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Theresa L Roth by the Centers for Medicare & Medicaid Services?
The Theresa L Roth has been issued the NPI (National Provider Identifier) 1194886697 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Theresa L Roth is geographically located?
The Theresa L Roth is physically situated at the following location: 909 E State Blvd, Fort Wayne, IN, 468053404.
What is the Theresa L Roth's area of specialization and corresponding taxonomy classification?
The Theresa L Roth's specialty field is Psychiatric/mental Health, Adult, and it falls under the taxonomy code 163Wp0809X, which categorizes healthcare providers based on their specialties.
When did Theresa L Roth receive its 1194886697 assignment?
The Theresa L Roth was assigned its 1194886697 on 2006-12-12, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Theresa L Roth last refreshed?
The information related to the Theresa L Roth, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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