MARY KATE ROTH

PHILADELPHIA, PA
NPI1821784737
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: PA  SP027437)
Enumeration Date2023-04-13
Last Update Date2023-04-13
Business Address
MARY KATE ROTH CRNP
111 S 11TH ST
PHILADELPHIA, PA 19107-4824
Phone number: 215-955-6060
Mailing Address
MARY KATE ROTH CRNP
2518 CHRISTIAN ST
PHILADELPHIA, PA 19146-2314
Phone number: 240-383-0050