NPI Code Details Logo

NPI 1710319009

NPI 1710319009 : MEGAN ROLLINGS CPNP-PC : WEST LAFAYETTE, IN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1710319009
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MEGAN ROLLINGS CPNP-PC
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/08/2013
-----------------------------------------------------
    Last Update Date     |    07/11/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    915 SAGAMORE PKWY W 
-----------------------------------------------------
    City                 |    WEST LAFAYETTE
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    47906-1443
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    765-463-5252
-----------------------------------------------------
    Fax                  |    765-463-2289
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 781076 
-----------------------------------------------------
    City                 |    DETROIT
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48278-4959
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    317-528-4800
-----------------------------------------------------
    Fax                  |    317-865-1479
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LP0200X
-----------------------------------------------------
    Taxonomy Name        |    Pediatric Nurse Practitioner
-----------------------------------------------------
    License Number       |    20131701
-----------------------------------------------------
    License Number State |    IN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363LP0200X
-----------------------------------------------------
    Taxonomy Name        |    Pediatric Nurse Practitioner
-----------------------------------------------------
    License Number       |    71004719A
-----------------------------------------------------
    License Number State |    IN
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.