Provider Demographics
NPI:1710970819
Name:ROLLINSON, NANCY LYNN (APRN, C-PNP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:LYNN
Last Name:ROLLINSON
Suffix:
Gender:F
Credentials:APRN, C-PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 WEST ST
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-2217
Mailing Address - Country:US
Mailing Address - Phone:203-924-0302
Mailing Address - Fax:203-737-2786
Practice Address - Street 1:333 CEDAR ST
Practice Address - Street 2:LCI 302 BOX 8064
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3206
Practice Address - Country:US
Practice Address - Phone:203-737-4396
Practice Address - Fax:203-737-2786
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003174363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics