DIANE D. ROTH

PHOENIX, AZ
NPI1093810137
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  RN037283)
Enumeration Date2006-09-13
Last Update Date2013-01-11
Business Address
-- DIANE D. ROTH PsyNP
1919 E THOMAS RD DEPARTMENT OF OUTPATIENT PSYCHIATRY
PHOENIX, AZ 85016-7710
Phone number: 602-933-0990
Mailing Address
-- DIANE D. ROTH PsyNP
1919 E THOMAS RD BLDG 2108, SUITE 101
PHOENIX, AZ 85016-7710
Phone number: 602-512-8030
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