Individual
KATIE L. ROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.021355
OH
363LF0000X
Family Nurse Practitioner
19471
TN
Other
Enumeration date
12/08/2014
Last updated
03/04/2021
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