Miss Suzanne Fair Roth, NURSE PRACTITIONER - Nurse Practitioner in San Diego, CA

Miss Suzanne Fair Roth, NURSE PRACTITIONER is a Nurse Practitioner - Family based in San Diego, California. Miss Suzanne Fair Roth is licensed to practice in California (license number RN 252378) and her current practice location is 1501 Front St, 643, San Diego, California. She can be reached at her office (for appointments etc.) via phone at (619) 889-7684.

NPI number for Miss Suzanne Fair Roth is 1316906076 and her current mailing address is Po Box 81524, San Diego, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316906076.

Contact Information

Miss Suzanne Fair Roth, NURSE PRACTITIONER
1501 Front St, 643,
San Diego, CA 92101-2973
(619) 889-7684
Not Available

Map and Direction




Provider's Profile

Full NameMiss Suzanne Fair Roth
GenderFemale
SpecialityNurse Practitioner - Family
Location1501 Front St, San Diego, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1316906076
  • Provider Enumeration Date: 03/21/2006
  • Last Update Date: 08/09/2013

Medical Identifiers

Medical identifiers for Miss Suzanne Fair Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316906076NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 14948 (California)Secondary
363LF0000XNurse Practitioner - Family RN 252378 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Suzanne Fair Roth is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miss Suzanne Fair Roth, NURSE PRACTITIONER
Po Box 81524,
San Diego, CA 92138-1524

Ph: (619) 889-7684
Miss Suzanne Fair Roth, NURSE PRACTITIONER
1501 Front St, 643,
San Diego, CA 92101-2973

Ph: (619) 889-7684

Reviews and Comments


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