| Doctor Name: | ADAM ROLLER |
| NPI Number: | 1194143537 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APRN |
| License Number: | APRN-1711 |
| Business Practice Address: | 1245 Kuala St Pearl City, HI - 967823900 |
| Business Phone Number: | 8084562273 |
| Business Fax Number: | 8084562274 |
| Mailing Address: | 1245 Kuala St, PEARL CITY |
| State: | HI |
| Postal Code: | 967823900 |
| Phone Number: | 8084562273 |
| Fax Number: | 8084562274 |
| NPI Enumeration Date: | 04/02/2014 |
| NPI Last Update Date: | 04/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | APRN-1711 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |