Individual
HEATHER ROLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2250
Mailing address
PO BOX 18667, ERLANGER, KY 41018-0667
(859) 572-3617
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3018567
KY
363LF0000X
Family Nurse Practitioner
3018567
KY
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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