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

Nicole Roth, PA

Individual provider Physician Assistant · NPI 1831447770

Nicole Roth, PA is a Physician Assistant in Munising, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1500 Sandpoint Rd
Munising, MI 49862-1406
Phone: (906) 387-4110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601006425 (MI)

Record details

NPI number1831447770
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 27, 2012
Last updated in NPPESJuly 2, 2013

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