Rollie, Charlotte Ann

Rollie, Charlotte Ann is an individual health care provider with primary practice located at 705 Pleasant Ave S , Park Rapids MN 56470. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Rollie, Charlotte Ann can be contacted via phone (218) 732-2800.

Contact Information

Primary practice address
705 Pleasant Ave S Park Rapids MN 56470
Phone: (218) 732-2800
Fax: (218) 732-2874
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R1203026 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X CNP0022 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X CNM0006 Minnesota

Profile Details

NPI number 1255399283
LBN Legal business name Rollie, Charlotte Ann
Credentials F.N.P, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Aug 7th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255399283 NPPES
Minnesota MEDICAID 1255399283

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