Provider Demographics
NPI:1003384165
Name:ROLLINS, LAWANDA (DNP, AGNP-C)
Entity Type:Individual
Prefix:DR
First Name:LAWANDA
Middle Name:
Last Name:ROLLINS
Suffix:
Gender:F
Credentials:DNP, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8831 SATYR HILL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-2355
Mailing Address - Country:US
Mailing Address - Phone:443-946-1896
Mailing Address - Fax:443-495-2902
Practice Address - Street 1:8831 SATYR HILL RD STE 100
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-2355
Practice Address - Country:US
Practice Address - Phone:443-946-1896
Practice Address - Fax:443-495-2902
Is Sole Proprietor?:No
Enumeration Date:2018-11-07
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR143674363LA2200X, 363LG0600X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology