Provider Demographics
NPI:1013149285
Name:ROLLER, KARI MELISSA (BSN, RN)
Entity Type:Individual
Prefix:MRS
First Name:KARI
Middle Name:MELISSA
Last Name:ROLLER
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 20TH ST
Mailing Address - Street 2:
Mailing Address - City:BUTNER
Mailing Address - State:NC
Mailing Address - Zip Code:27509-2004
Mailing Address - Country:US
Mailing Address - Phone:919-225-7047
Mailing Address - Fax:
Practice Address - Street 1:603 20TH ST
Practice Address - Street 2:
Practice Address - City:BUTNER
Practice Address - State:NC
Practice Address - Zip Code:27509-2004
Practice Address - Country:US
Practice Address - Phone:919-225-7047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC196817163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse