Individual
MRS. ELIZABETH MAY ROLLER
Active
Individual
MRS. ELIZABETH MAY ROLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO11867800
NJ
163W00000X
Registered Nurse
L1-0029082
DE
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00271600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AANA ID#
083661
—
01
—
P00918753
RAILROAD MEDICARE
NJ
Enumeration date
11/05/2009
Last updated
12/11/2012
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