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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CAROLYN ROTH, N.P.

Active

CAROLYN ROTH, N.P. is a Nurse Practitioner healthcare provider located in BLOOMINGTON, Illinois. NPI 1679609630 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · BLOOMINGTON, IL

Registration Details

NPI Number
1679609630
Provider Type
Individual
Gender
Female
NPI Issued
Feb 26, 2007 (19.423211484675 yrs)
Last Updated
Nov 20, 2009
License
209000155 (IL)

Practice Information

Address
1701 E COLLEGE AVE
BLOOMINGTON, IL, 617042101
Browse IL providers · Browse ZIP 61704
Phone
3096643038
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in BLOOMINGTON, IL

Name Credential NPI
JEANETTE MARIE FEUCHT MSN CNP 1467451781
KIMBERLY NORD N.P. 1396789210
PAMELA J. NORRIS NP 1275625865
KRISTEN BRAUN NP 1972681245
MARGARET J NEUMANN N.P. 1639235179
MRS. CECILIA SIBERON-SONE ARNP 1073644035
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.