Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Nicole Roth

Individual provider Independent Duty Medical Technicians · NPI 1669107892

Amanda Nicole Roth is an Independent Duty Medical Technicians in Crestview, Florida. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

703 Majestic Dr
Crestview, FL 32536-2254
Phone: (210) 899-9568
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X

Record details

NPI number1669107892
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 21, 2022
Last updated in NPPESJuly 21, 2022
Certification dateJuly 21, 2022
Mailing address703 Majestic Dr, Crestview, FL 32536-2254

Other providers in Crestview