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

Lisa M Roth, RNCNNP

Individual provider Critical Care Neonatal Nurse Practitioner · NPI 1558576561

Lisa M Roth, RNCNNP is a Critical Care Neonatal Nurse Practitioner in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007

Practice location Address checks out

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone: (314) 577-5631
Show map & directions

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

Specialties & licences

Critical Care Neonatal Nurse Practitioner (primary) Taxonomy 363LN0005X · Licence 066591 (MO)

Record details

NPI number1558576561
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNCNNP
Sole proprietorNo
NPI enumeratedMay 12, 2007
Last updated in NPPESJuly 8, 2007

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