National Provider Identifier

Karen S. Roth, ANP-BC, ACHPN

Karen S. Roth, ANP-BC, ACHPN is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Newark, NY and a listed phone number of (315) 359-2640.

NPI 1093714784Newark, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1093714784
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
July 15, 2005
Last Updated
March 26, 2009

Practice Location

  • 1208 Driving Park Ave
  • Newark, NY 14513-1057

Phone: (315) 359-2640

Mailing Address

  • 4195 W Walworth RD
  • Macedon, NY 14502-9313

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)
Full Record
NPI
1093714784
Entity Type
Individual
Last Name
Roth
First Name
Karen
Middle Name
S.
Credential
ANP-BC, ACHPN
Mailing Street Address
4195 W Walworth RD
Mailing City
Macedon
Mailing State
NY
Mailing ZIP Code
14502-9313
Mailing Country
US
Mailing Phone
(315) 986-5771
Practice Street Address
1208 Driving Park Ave
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1057
Practice Country
US
Practice Phone
(315) 359-2640
Enumeration Date
July 15, 2005
Last Updated
March 26, 2009
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X)