Healthcare Provider Details

I. General information

NPI: 1457266330
Provider Name (Legal Business Name): MOLLY ROLFE DNP, APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4452 PARK BLVD STE 204
SAN DIEGO CA
92116-4039
US

IV. Provider business mailing address

2649 PELELIU WAY
SAN DIEGO CA
92110-4267
US

V. Phone/Fax

Practice location:
  • Phone: 619-823-1382
  • Fax:
Mailing address:
  • Phone: 715-305-7422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95041041
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: