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NPI Code Detail

MEDICARE: MS. CAMILLA F. ROFF R.N.

MEDICARE: MS. CAMILLA F. ROFF R.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse4704173733MI

General Provider Information

NPI Number : 1619057999
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAMILLA F. ROFF R.N.
Provider Business Mailing Address
First Line : 227 E SANILAC RD
Second Line :
City : SANDUSKY
State : MI
Zip : 48471-1160
Country : US
Telephone Number : 810-648-0330
Fax Number :
Provider Business Practice Location Address
First Line : 227 E SANILAC RD
Second Line :
City : SANDUSKY
State : MI
Zip : 48471-1160
Country : US
Telephone Number : 810-648-0330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 03/17/2018

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