Provider Demographics
NPI:1841596681
Name:ROELFS, KRISTIN MARIE (MPAS, PA-C)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:MARIE
Last Name:ROELFS
Suffix:
Gender:F
Credentials:MPAS, PA-C
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Other - First Name:
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Mailing Address - Street 1:501 N ALLEN AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-1411
Mailing Address - Country:US
Mailing Address - Phone:402-305-6478
Mailing Address - Fax:
Practice Address - Street 1:210 MCNEEL LN
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-6290
Practice Address - Country:US
Practice Address - Phone:308-534-9230
Practice Address - Fax:308-534-5016
Is Sole Proprietor?:No
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE1564363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant