CANDACE LEAH ROLSTON APN NPI 1366872699

NPI Information

NPI: 1366872699
Provider Name: CANDACE LEAH ROLSTON, APN
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
629 JACK STEPHENS DR
LITTLE ROCK, AR
ZIP 72205
Phone: (479) 414-7483
Get Directions

Candace Leah Rolston, APN is a gerontology nurse practitioner in Little Rock, AR. Candace Leah Rolston, APN NPI is 1366872699. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

629 JACK STEPHENS DR
LITTLE ROCK, AR
ZIP 72205-525
Phone: (479) 414-7483

The NPI 1366872699 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/22/2013 and was last updated on 5/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	A003966	ARKANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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