MARY JANE ROLF (NPI# 1649424250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649424250 |
| Entity Type | Individual |
| Full Name | MARY JANE ROLF |
| Credential | RN |
| Practice Address |
1105 6th St Munson Community Health Center - Rehab Traverse City MI 49684-2345 |
| Mailing Address |
1105 6th St Breast Health Center Traverse City MI 49684-2345 |
| Practice Telephone | 2319356691 |
| Practice Fax Number | 2319350434 |
| Mailing Telephone | 2319356691 |
| Mailing Fax Number | 2319350434 |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2008-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
4704174790 | MI | Nursing Service Providers |
| Street Address |
1105 6TH ST MUNSON COMMUNITY HEALTH CENTER - REHAB |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205831617 | James D Sitek | Internal Medicine | 1105 6th St, Traverse City, MI 49684-2349 | 2005-06-14 |
| 1902418437 | Allison Cook | Pharmacist | 1105 6th St, Traverse City, MI 49684-2345 | 2020-08-17 |
| 1326689332 | Joseph Zerka | Pharmacist | 1105 6th St, Traverse City, MI 49684-2386 | 2019-10-01 |
| 1891344545 | Noelle Warren | Occupational Therapist | 1105 6th St, Traverse City, MI 49684-2345 | 2019-09-05 |
| 1235788134 | Andrea Kober | Occupational Therapist | 1105 6th St, Traverse City, MI 49684-2345 | 2019-09-04 |
| 1932757986 | Lauren Smith | Occupational Therapist | 1105 6th St, Traverse City, MI 49684-2345 | 2019-09-03 |
| 1114572880 | Lynne Severt | Speech-Language Pathologist | 1105 6th St, Traverse City, MI 49684-2345 | 2019-08-08 |
| 1104487214 | David Friedlander | Speech-Language Pathologist | 1105 6th St, Traverse City, MI 49684-2345 | 2019-06-28 |
| 1447811161 | Tracey Lynn Gray | Speech-Language Pathologist | 1105 6th St, Traverse City, MI 49684-2345 | 2019-06-24 |
| 1164083895 | Jami Lynn Cooke | Speech-Language Pathologist | 1105 6th St, Traverse City, MI 49684-2386 | 2019-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598382905 | Kevin Poole Jr. | Registered Nurse | 3044 Shabay Dr Bldg 1, Flushing, MI 48433-2459 | 2020-07-01 |
| 1023665981 | Kara Renee Mcintyre | Registered Nurse | 22725 S Keyes St, Taylor, MI 48180-4100 | 2019-08-23 |
| 1003379314 | Jaina Sabu Samuel | Registered Nurse | 49409 W Central Park, Shelby Twp, MI 48317-6355 | 2019-04-12 |
| 1386163830 | Dionne Lanette Wallace | Registered Nurse | 15730 Mok Ave, Eastpointe, MI 48021-2367 | 2017-09-15 |
| 1336490846 | Venus Yvonne Graham | Registered Nurse | 16950 Martin Rd, Roseville, MI 48066-4331 | 2012-09-24 |
| 1346425030 | Mary Louise Molis | Registered Nurse | 7700 92nd St Se, Caledonia, MI 49316-9593 | 2008-01-01 |
| 1972715787 | Marcy Lee Soutar | Registered Nurse | 1449 S Washington Ave, Royal Oak, MI 48067-3225 | 2007-05-04 |
| 1457460222 | Uaye Juliet Abai | Registered Nurse | 6773 Stonebrige Court, West Bloomfield, MI 48322 | 2006-08-29 |
| 1184635617 | Patricia E Dombrowski | Registered Nurse | 26402 W 11 Mile Rd, Southfield, MI 48034-2248 | 2006-08-10 |
| 1932706033 | Janette Torrico-woo | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.