IndividualActive
Abby Roth, NP-C
NPI 1134465065 · Family Nurse Practitioner · Eagan, MN
Provider details
- NPI number
- 1134465065
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- R-161224-8 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4241 Johnny Cake Ridge Rd
Eagan, MN 55122-2235
Phone: (866) 389-2727
Approximate (ZIP-level) locationGet directions
Mailing address
2240 E 42nd St
Minneapolis, MN 55407-3049
Registry dates
- Enumerated
- 2012-12-20
- Last updated
- 2012-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.