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Individual

KRISTEN U ROLLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
90 RITCHIE HWY, PASADENA, MD 21122-4303
(410) 987-2003
Mailing address
90 RITCHIE HWY, PASADENA, MD 21122-4303
(410) 987-2003

Taxonomy

Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
R203287
MD
363LF0000X
Family Nurse Practitioner
Primary
R203287
MD

Other

Enumeration date
02/19/2021
Last updated
04/07/2021
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