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Individual
VANESSA MICHELE ROLL
Active
Individual
VANESSA MICHELE ROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
28172068A
IN
208D00000X
General Practice Physician
28172068A
IN
208D00000X
General Practice Physician
71015909A
IN
363L00000X
Nurse Practitioner
Primary
71015909A
IN
363LA2200X
Adult Health Nurse Practitioner
28172068A
IN
Other
Enumeration date
07/24/2023
Last updated
02/21/2026
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