Rollins, Virginia Robertson

Rollins, Virginia Robertson is an individual health care provider with primary practice located at 100 Mario Capecchi Dr , Salt Lake City UT 84113-1103. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Rollins, Virginia Robertson can be contacted via phone (801) 662-4700.

Contact Information

Primary practice address
100 Mario Capecchi Dr Salt Lake City UT 84113-1103
Phone: (801) 662-4700
Fax: (801) 662-4707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN077478 NP Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6823884-4405 Utah

Profile Details

NPI number 1780658740
LBN Legal business name Rollins, Virginia Robertson
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Dec 19th, 2011 - about 14 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 1780658740 NPPES
Georgia MEDICAID 000576529D

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