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Ms. Abby Rose Roth, NP-C
Family Nurse Practitioner in Eagan, Minnesota
NPI 1134465065

Abby Rose Roth is a Family Nurse Practitioner based in Minneapolis, MN and is specialized in Family. Abby Rose Roth practices in Eagan, MN and has the professional credentials of NP-C. The NPI Number for Abby Rose Roth is 1134465065 and holds a License No. R-161224-8 (Minnesota).

The current practice location address for Abby Rose Roth is 4241 Johnny Cake Ridge Rd, Eagan, MN and can be reached out via phone at 866-389-2727.

Location: 4241 Johnny Cake Ridge Rd, Eagan, MN, 55407-3049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134465065
Provider Name
Abby Rose Roth
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
4241 Johnny Cake Ridge Rd, Eagan, MN, 55407-3049
Phone Number
866-389-2727
Fax Number
Provider Enumeration Date
12/20/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4241 Johnny Cake Ridge Rd
City
Eagan
State
Minnesota
Zip
55122-2235
Phone Number
866-389-2727
Fax Number
person
Provider Business Mailing Address Details
Address
4241 Johnny Cake Ridge Rd
City
Eagan
State
Minnesota
Zip
55122-2235
Phone Number
866-389-2727
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R-161224-8 (Minnesota)
Definition
Definition to come...
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