Individual
CHARLOTTE ANN ROLLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P, CNM
Contact information
Practice address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470
(218) 732-2800
(218) 732-2874
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(218) 732-2800
(218) 732-2874
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R1203026
MN
367A00000X
Advanced Practice Midwife
Primary
CNM0006
MN
367A00000X
Advanced Practice Midwife
CNP0022
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255399283
—
MN
Enumeration date
05/01/2006
Last updated
08/07/2018
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