Miss. Suzanne Fair Roth, NURSEPRACTITIONER
Miss. Suzanne Fair Roth, NURSEPRACTITIONER is a Medical Physician Assistant in San Diego, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
1501 Frnt ST 643San Diego, CA 92101-2973
Phone: (619) 889-7684
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence RN 252378 (CA) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 14948 (CA) |
Record details
| NPI number | 1316906076 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | No |
| NPI enumerated | March 21, 2006 |
| Last updated in NPPES | August 9, 2013 |
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