Provider Demographics
NPI:1982916318
Name:ROLSTON, DENISE P (RN,APN,MSN,CCRN)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:P
Last Name:ROLSTON
Suffix:
Gender:F
Credentials:RN,APN,MSN,CCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 CLARKSON AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-1425
Mailing Address - Country:US
Mailing Address - Phone:718-270-1981
Mailing Address - Fax:718-270-3843
Practice Address - Street 1:450 CLARKSON AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2012
Practice Address - Country:US
Practice Address - Phone:718-270-1981
Practice Address - Fax:718-270-3843
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-14
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY409207163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse