Provider Demographics
NPI:1326780248
Name:PAROLI, ROSALEE DANIELLE
Entity Type:Individual
Prefix:
First Name:ROSALEE
Middle Name:DANIELLE
Last Name:PAROLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5604 ONE PUTT LN
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-9141
Mailing Address - Country:US
Mailing Address - Phone:910-580-2133
Mailing Address - Fax:
Practice Address - Street 1:300 MONTICELLO AVE
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-5616
Practice Address - Country:US
Practice Address - Phone:910-580-2133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant