Provider Demographics
NPI:1780727990
Name:ROLLAR, JUDITH FRANCK (CRNP)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:FRANCK
Last Name:ROLLAR
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 GUTHRIE SQ
Mailing Address - Street 2:
Mailing Address - City:SAYRE
Mailing Address - State:PA
Mailing Address - Zip Code:18840-1625
Mailing Address - Country:US
Mailing Address - Phone:570-268-2239
Mailing Address - Fax:
Practice Address - Street 1:4185 KIRKWOOD ST GEORGES RD
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-2272
Practice Address - Country:US
Practice Address - Phone:302-834-7018
Practice Address - Fax:302-836-2520
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0000315363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily