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

Penny Roth

Individual provider Licensed Practical Nurse · NPI 1083216543

Penny Roth is a Licensed Practical Nurse in Mandan, North Dakota. Licensed in Virginia. Registered with an NPI since 2020.

Licensed in
VA
In the registry since
2020

Practice location Address checks out

1200 Collins Ave
Mandan, ND 58554-2066
Phone: (701) 663-5373
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 0002059986 (VA)

Record details

NPI number1083216543
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 10, 2020
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020
Mailing address1200 Collins Ave, Mandan, ND 58554-2066

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