Roth, Larissa Ann
Roth, Larissa Ann is an individual health care provider with primary practice located at 1001 Belmont Ave , Youngstown OH 44504-1003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Roth, Larissa Ann can be contacted via phone (330) 744-2118.Contact Information
Primary practice address
1001 Belmont Ave
Youngstown OH 44504-1003
Phone: (330) 744-2118
Fax: (330) 744-2110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN.CNP.17618 | Ohio |
Profile Details
| NPI number | 1669855615 |
|---|---|
| LBN Legal business name | Roth, Larissa Ann |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2015 |
| Last updated | Sep 3rd, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669855615 | NPPES |
| Ohio | MEDICAID | 0137805 |
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