Healthcare Provider Details

I. General information

NPI: 1447479886
Provider Name (Legal Business Name): LAURA ADELE ROHLFING N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 07/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 N MESA DR SUITE 11
MESA AZ
85201-5995
US

IV. Provider business mailing address

879 W STERLING PL
CHANDLER AZ
85225-1803
US

V. Phone/Fax

Practice location:
  • Phone: 480-844-4702
  • Fax: 480-461-6456
Mailing address:
  • Phone: 480-730-0623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP0147
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberRN071294
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: