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Diane D. Roth, PSYNP
Psychiatric/Mental Health Nurse Practitioner in Phoenix, Arizona
NPI 1093810137

Diane D. Roth is a Psychiatric/Mental Health Nurse Practitioner based in Phoenix, AZ and is specialized in Psychiatric/Mental Health. Diane D. Roth practices in Phoenix, AZ and has the professional credentials of PSYNP. The NPI Number for Diane D. Roth is 1093810137 and holds a License No. RN037283 (Arizona).

The current practice location address for Diane D. Roth is 1919 E Thomas Rd, Phoenix, AZ and can be reached out via phone at 602-933-0990 and via fax at 602-933-0401.

Location: 1919 E Thomas Rd, Phoenix, AZ, 85016-7710
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Provider Profile Details
NPI Number
1093810137
Provider Name
Diane D. Roth
Credential
PSYNP
Provider Entity Type
Individual
Gender
Female
Address
1919 E Thomas Rd, Phoenix, AZ, 85016-7710
Phone Number
602-933-0990
Fax Number
602-933-0401
Provider Enumeration Date
09/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
548323 05 AZ
institution
Provider Business Practice Location Address Details
Address
1919 E Thomas Rd
City
State
Zip
85016-7710
Phone Number
602-933-0990
Fax Number
602-933-0401
person
Provider Business Mailing Address Details
Address
1919 E Thomas Rd
City
State
Zip
85016-7710
Phone Number
602-933-0990
Fax Number
602-933-0401
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
RN037283 (Arizona)
Definition
Definition to come...
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