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NPI Code Detail

MEDICARE: RASHAWN DOMINIQUE ROLLE

MEDICARE: RASHAWN DOMINIQUE ROLLE
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
1363L00000XNurse Practitioner0024191947VA
2363LF0000XFamily Nurse Practitioner229728GA

General Provider Information

NPI Number : 1750808226
Entity Type Code : Individual
Provider Name (Legal Business Name) : RASHAWN DOMINIQUE ROLLE
Provider Business Mailing Address
First Line : 1 EMBARCADERO CTR STE 1900
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94111-3723
Country : US
Telephone Number : 888-663-6331
Fax Number :
Provider Business Practice Location Address
First Line : 1775 TYSONS BLVD STE 300
Second Line :
City : MC LEAN
State : VA
Zip : 22102-4285
Country : US
Telephone Number : 888-663-6331
Fax Number : 415-252-7176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2017
Last Update Date : 03/18/2026

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Directions to “ RASHAWN DOMINIQUE ROLLE ” Practice Location

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