MRS. LAURIE ANN ROTH RN
NPI 1891260105
Registered Nurse - School in Shafter, CA
Active since October 12, 2018
About Mrs. Laurie Ann Roth Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LAURIE ANN ROTH RN (NPI 1891260105) is an individual school provider in Shafter, California, licensed in California (431493) and active in the NPI registry since October 2018.
NPPES Registry Identity
NPI1891260105
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameMRS. LAURIE ANN ROTHCredential: RN
Location Address331 N SHAFTER AVEShafter, CA 93263-1967
Mailing Address331 N Shafter AveShafter, CA 93263-1967 · (661) 746-8613 · Fax (661) 746-8614
Phone(661) 746-8613
Fax(661) 746-8614
Sole ProprietorNo
Enumeration DateOctober 12, 2018
✔ NPI 1891260105 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License✔ Licensed in CA · 431493
331 N SHAFTER AVE, Shafter, CA 93263
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Local Education Agency (LEA)
331 N SHAFTER AVE
SHAFTER, CA 93263
SHAFTER, CA 93263
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891260105, enumerated as an "individual" on October 12, 2018.
The provider is located at 331 N SHAFTER AVE SHAFTER, CA 93263 and the phone number is (661) 746-8613.
Registered Nurse with taxonomy code 163WS0200X and a focus in School.