Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | AP138906 | TX |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | AP138906 | TX |
NPI | 1093281164 |
---|---|
Provider Name | Sara Katherine Rollins |
First Address | San Antonio, TX 78229-3561 |
Second Address | San Antonio, TX 78229 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2018 |
Last Update Date | 29/12/2020 |