Individual
MRS. AVERY RHEANN ROLSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 435-7001
Mailing address
10184 DULL ROBINSON RD, VAN WERT, OH 45891-8948
(800) 342-2898
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PENDING
IN
363A00000X
Physician Assistant
Primary
10005071A
IN
Other
Enumeration date
09/11/2025
Last updated
12/15/2025
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