Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MELINDA M ROTH, PMHNP
Active Sole ProprietorMELINDA M ROTH, PMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in CRANDON, Wisconsin. NPI 1154757045 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · CRANDON, WI
Registration Details
- NPI Number
- 1154757045
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 24, 2013 (12.866416934666 yrs)
- Last Updated
- Sep 1, 2022
- Licenses
-
209010719 (IL)277000959 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3144 VANZILE RDCRANDON, WI, 545208149Browse WI providers · Browse ZIP 54520
- Phone
- 7154785180
- Fax
- 7154785904
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in CRANDON, WI
| Name | Credential | NPI |
|---|---|---|
| ASHLEY SEILER | NP | 1992015580 |
| MRS. JODI L SPACE | APNP | 1518217280 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.