| Doctor Name: | MR. THERESA MARIE ROLLASON |
| NPI Number: | 1003058702 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSING-MSN |
| License Number: | 5934237 |
| Business Practice Address: | Unit 15244 Box 425 Apo, AP - 962055244 |
| Business Phone Number: | 82279175515 |
| Business Fax Number: | |
| Mailing Address: | Unit 15244 Box 425, APO |
| State: | AP |
| Postal Code: | 962055244 |
| Phone Number: | 82279175515 |
| Fax Number: | |
| NPI Enumeration Date: | 03/27/2009 |
| NPI Last Update Date: | 03/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0200X |
| License Number: | 5934237 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |