Individual
MRS. VIRGINIA ROBERTSON ROLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4700
(801) 662-4707
Mailing address
5335 S 3400 W, ROY, UT 84067-9282
(801) 791-6750
(801) 662-4707
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN077478 NP
GA
363LF0000X
Family Nurse Practitioner
Primary
6823884-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000576529D
—
GA
Enumeration date
02/15/2006
Last updated
12/19/2011
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