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NPI Code Detail

MEDICARE: EMILY A ROLING ARNP

MEDICARE: EMILY A ROLING ARNP
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 Nurse114707IA
2363LF0000XFamily Nurse PractitionerA161279IA

General Provider Information

NPI Number : 1174139315
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY A ROLING ARNP
Provider Business Mailing Address
First Line : 3375 LAKE RIDGE DR
Second Line :
City : DUBUQUE
State : IA
Zip : 52003-7864
Country : US
Telephone Number : 563-207-8932
Fax Number :
Provider Business Practice Location Address
First Line : 3375 LAKE RIDGE DR
Second Line :
City : DUBUQUE
State : IA
Zip : 52003-7864
Country : US
Telephone Number : 563-207-8932
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2020
Last Update Date : 10/26/2020

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