Individual
MRS. MALLORY LYNN ROLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
700 E 2ND ST, IDA GROVE, IA 51445-1601
(712) 364-2514
(712) 364-4430
Mailing address
700 E 2ND ST, IDA GROVE, IA 51445-1601
(712) 364-2514
(712) 364-4430
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
121274
IA
363LF0000X
Family Nurse Practitioner
Primary
2015025931
IA
Other
Enumeration date
07/22/2016
Last updated
01/03/2017
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