Provider Demographics
NPI:1043983851
Name:ROLLINS, BRIANNA
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:ROLLINS
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 1:695 MOUNTAINEER HWY
Mailing Address - Street 2:
Mailing Address - City:MULLENS
Mailing Address - State:WV
Mailing Address - Zip Code:25882-0255
Mailing Address - Country:US
Mailing Address - Phone:304-720-3844
Mailing Address - Fax:304-294-8803
Practice Address - Street 1:695 MOUNTAINEER HWY
Practice Address - Street 2:
Practice Address - City:MULLENS
Practice Address - State:WV
Practice Address - Zip Code:25882-0255
Practice Address - Country:US
Practice Address - Phone:304-720-3844
Practice Address - Fax:304-294-8803
Is Sole Proprietor?:No
Enumeration Date:2021-07-28
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant