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Rachel C Roller, CRNA

Nurse Anesthetist, Certified Registered in Johnson City, TN. Individual provider (NPI-1).

NPI number1790777084
StatusActive
Last updated in NPPESJun 18, 2025

Details

NPI
1790777084
Entity type
Individual (NPI-1)
Name
Rachel C Roller
Credential
CRNA
Sex
Female
Sole proprietor
No
Enumeration date
Aug 22, 2005
Certification date
Jun 18, 2025
Last updated
Jun 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered0024193694VAYes
367500000X Nurse Anesthetist, Certified RegisteredRN0000122629TN

Practice location

601 Med Tech Pkwy
Johnson City, TN 37604-2253

Phone 423-610-1020

Mailing address

1009 Lark St Ste 2
Johnson City, TN 37604-8218

Phone 423-283-0776 · Fax 423-968-5697

Other practice locations

1906 Belleview Ave Se
Roanoke, VA 24014-1838

Phone 540-981-7000

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