Gail Deanne Roth
Nurse Practitioner - Gerontology
4604 Brownwood Ct
Tampa
, Florida 33624-1118
Gail Deanne Roth
Nurse Practitioner - Gerontology
4604 Brownwood Ct
Tampa
, Florida 33624-1118
(813) 679-4101
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Gail Deanne Roth
- 4604 Brownwood Ct
- Tampa, FL
- Zip : 33624-1118
- Phone : (813) 679-4101
Second Address
- Gail Deanne Roth
- 4604 Brownwood Ct
- Tampa, FL
- Zip : 33624-1118
- Phone : (813) 679-4101
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | ARNP9233626 | FL |
National Provider Identifier
| NPI | 1003332313 |
|---|---|
| Provider Name | Gail Deanne Roth |
| First Address | Tampa, FL 33624-1118 |
| Second Address | Tampa, FL 33624-1118 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/08/2017 |
| Last Update Date | 05/02/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.