Provider Demographics
NPI:1851622922
Name:ROLLEND, REBECCA J (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:J
Last Name:ROLLEND
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 ALLEN ST
Mailing Address - Street 2:SPRINGFIELD ANESTHESIA SERVICE INC
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01118-2533
Mailing Address - Country:US
Mailing Address - Phone:413-796-7494
Mailing Address - Fax:413-796-7497
Practice Address - Street 1:908 ALLEN ST
Practice Address - Street 2:SPRINGFIELD ANESTHESIA SERVICE INC
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01118-2533
Practice Address - Country:US
Practice Address - Phone:413-796-7494
Practice Address - Fax:413-796-7497
Is Sole Proprietor?:No
Enumeration Date:2010-01-28
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA257434367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered