person
Diana Lynette Roth
Family Nurse Practitioner in Pittsfield, Illinois
NPI 1841736857

Diana Lynette Roth is a Family Nurse Practitioner based in Jacksonville, IL and is specialized in Family. Diana Lynette Roth practices in Pittsfield, IL. The NPI Number for Diana Lynette Roth is 1841736857 and holds a License No. 209015451 (Illinois).

The current practice location address for Diana Lynette Roth is 640 W Washington St, Pittsfield, IL and can be reached out via phone at 217-285-2113 and via fax at 217-285-2989. You can also correspond with Diana Lynette Roth through the mailing address at 103 LELAND LAKE DR, JACKSONVILLE, IL - 62650-2690 (mailing address contact number: 217-883-0428).

Location: 640 W Washington St, Pittsfield, IL, 62650-2690
person
Provider Profile Details
NPI Number
1841736857
Provider Name
Diana Lynette Roth
Credential
Provider Entity Type
Individual
Gender
Female
Address
640 W Washington St, Pittsfield, IL, 62650-2690
Phone Number
217-285-2113
Fax Number
217-285-2989
Provider Enumeration Date
01/13/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
640 W Washington St
City
State
Zip
62363-1350
Phone Number
217-285-2113
Fax Number
217-285-2989
person
Provider Business Mailing Address Details
Address
640 W Washington St
City
State
Zip
62363-1350
Phone Number
217-285-2113
Fax Number
217-285-2989
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209015451 (Illinois)
Definition
Definition to come...
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