MEDICARE: CHRISTINE CATHERINE ROLFES RN

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
1	163WD1100X	Peritoneal Dialysis Registered Nurse	RN322077	GA

General Provider Information

NPI Number	:	1275333817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE CATHERINE ROLFES RN

Provider Business Mailing Address
First Line	:	300 ASHLEY PARK BLVD APT 1702
Second Line	:
City	:	NEWNAN
State	:	GA
Zip	:	30263-6415
Country	:	US
Telephone Number	:	678-993-5933
Fax Number	:

Provider Business Practice Location Address
First Line	:	2830 HIGHWAY 54 STE 100
Second Line	:
City	:	PEACHTREE CITY
State	:	GA
Zip	:	30269-1026
Country	:	US
Telephone Number	:	678-364-9165
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2025
Last Update Date	:	03/13/2025

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