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Individual

RACHEL C ROLLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
601 MED TECH PKWY, JOHNSON CITY, TN 37604-2253
(423) 610-1020
Mailing address
1009 LARK ST STE 2, JOHNSON CITY, TN 37604-8218
(423) 283-0776
(423) 968-5697

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024193694
VA
367500000X
Certified Registered Nurse Anesthetist
RN0000122629
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3631531
TN
Enumeration date
08/22/2005
Last updated
06/18/2025
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