Healthcare Provider Details

I. General information

NPI: 1770993727
Provider Name (Legal Business Name): ANNA ROLAND CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2014
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 BROCKTON AVE
ABINGTON MA
02351-2186
US

IV. Provider business mailing address

176 QUINCY AVE
BROCKTON MA
02302-2803
US

V. Phone/Fax

Practice location:
  • Phone: 781-878-1700
  • Fax: 781-871-4375
Mailing address:
  • Phone: 88-940-5755
  • Fax: 89-416-4465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2276924
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: