Provider Demographics
NPI:1881394674
Name:CHASE, ROLAWNDA NICOLE
Entity type:Individual
Prefix:MS
First Name:ROLAWNDA
Middle Name:NICOLE
Last Name:CHASE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7732 LOUDON DR
Mailing Address - Street 2:
Mailing Address - City:FT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-3411
Mailing Address - Country:US
Mailing Address - Phone:240-501-4899
Mailing Address - Fax:
Practice Address - Street 1:7732 LOUDON DR
Practice Address - Street 2:
Practice Address - City:FT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-3411
Practice Address - Country:US
Practice Address - Phone:240-501-4899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-09
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty