Doctor Name: | JUDITH M ROLING |
NPI Number: | 1063599488 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | MO-055686 |
Business Practice Address: | 2330 Shawnee Mission Pkwy Suite 2201 Westwood, KS - 662052005 |
Business Phone Number: | 9135889800 |
Business Fax Number: | 9135889803 |
Mailing Address: | 11920 Summit St, KANSAS CITY |
State: | MO |
Postal Code: | 641451035 |
Phone Number: | 8165826931 |
Fax Number: | 9135889803 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 02/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | MO-055686 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |