Provider Demographics
NPI:1033814892
Name:ROLIN, HALEY C (BSN, RN, CDCES, CCM)
Entity Type:Individual
Prefix:MRS
First Name:HALEY
Middle Name:C
Last Name:ROLIN
Suffix:
Gender:F
Credentials:BSN, RN, CDCES, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5811 JACK SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:ATMORE
Mailing Address - State:AL
Mailing Address - Zip Code:36502-5025
Mailing Address - Country:US
Mailing Address - Phone:251-368-9136
Mailing Address - Fax:251-368-0831
Practice Address - Street 1:5811 JACK SPRINGS RD
Practice Address - Street 2:
Practice Address - City:ATMORE
Practice Address - State:AL
Practice Address - Zip Code:36502-5025
Practice Address - Country:US
Practice Address - Phone:251-368-9136
Practice Address - Fax:251-368-0831
Is Sole Proprietor?:No
Enumeration Date:2023-04-03
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-179309163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator