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NPI Code Detail

MEDICARE: SYDNEY ROTH APRN, FNP-C

MEDICARE: SYDNEY ROTH APRN, FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse936175TX

General Provider Information

NPI Number : 1609733237
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYDNEY ROTH APRN, FNP-C
Provider Business Mailing Address
First Line : 16214 LONGVALE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77059-5416
Country : US
Telephone Number : 832-298-8365
Fax Number :
Provider Business Practice Location Address
First Line : 16214 LONGVALE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77059-5416
Country : US
Telephone Number : 832-298-8365
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/09/2026

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Directions to “ SYDNEY ROTH APRN, FNP-C” Practice Location

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