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NPI Code Detail

MEDICARE: KAREN ROLAND

MEDICARE:   KAREN  ROLAND
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
1363LF0000XFamily Nurse Practitioner95014408CA

General Provider Information

NPI Number : 1730701863
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN ROLAND
Provider Business Mailing Address
First Line : 31396 VIA VENTANA
Second Line :
City : THOUSAND PALMS
State : CA
Zip : 92276-3387
Country : US
Telephone Number : 760-855-1988
Fax Number :
Provider Business Practice Location Address
First Line : 34151 DATE PALM DR STE E
Second Line :
City : CATHEDRAL CITY
State : CA
Zip : 92234-6831
Country : US
Telephone Number : 760-770-0210
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2020
Last Update Date : 05/12/2020

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Directions to “ KAREN ROLAND ” Practice Location

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