Mr Daniel William Roth, FNP-BC | |
8766 Evan Lilas St, Las Vegas, NV 89148-5112 | |
(702) 335-7290 | |
Not Available |
Full Name | Mr Daniel William Roth |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 8766 Evan Lilas St, Las Vegas, Nevada |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982362950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 848817 (Nevada) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sunrise Hospital And Medical Center | Las vegas, NV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nathan Adelson Hospice Inc | 6709820129 | 12 |
Entity Name | Nathan Adelson Hospice Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639147051 PECOS PAC ID: 6709820129 Enrollment ID: O20070821000048 |
Mailing Address | Practice Location Address |
---|---|
Mr Daniel William Roth, FNP-BC 8766 Evan Lilas St, Las Vegas, NV 89148-5112 Ph: (702) 335-7290 | Mr Daniel William Roth, FNP-BC 8766 Evan Lilas St, Las Vegas, NV 89148-5112 Ph: (702) 335-7290 |
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