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Search › Missouri › 163WG0000X

Diane Roth, RN

NPI 1790916864 · on the registry since 2009 · sole proprietor

Practice

Address
1465 S Grand Blvd
Saint Louis, MO 63104
Phone
(314) 268-2700
Fax
(314) 268-2798
Organisation at this address
Lifenet, Inc.
St Louis University
St Louis University
St Louis University
St Louis University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
531

Registry record

Primary taxonomy
163WG0000X
163WG0000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri