Provider Demographics
NPI:1407232697
Name:ROLFE, MARY (RN)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:ROLFE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 CORINTH RD
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04939-4419
Mailing Address - Country:US
Mailing Address - Phone:207-270-2688
Mailing Address - Fax:
Practice Address - Street 1:401 CORINTH RD
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:ME
Practice Address - Zip Code:04939-4419
Practice Address - Country:US
Practice Address - Phone:207-270-2688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME52531163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health