| Anthony Lee Roller, DNP, APRN, CPNP ACPC | |
|
100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | |
| (910) 450-4500 | |
| Not Available |
| Full Name | Anthony Lee Roller |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 100 Brewster Blvd, Camp Lejeune, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780035048 | NPI | - | NPPES |
| 053386600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN9251304 (Florida) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | APRN9251304 (Florida) | Secondary |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Lee Roller, DNP, APRN, CPNP ACPC 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 Ph: (910) 450-4500 | Anthony Lee Roller, DNP, APRN, CPNP ACPC 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 Ph: (910) 450-4500 |
John Angus Morgan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547 Phone: 910-450-4159 Fax: 910-450-4194 | |
Lauren Hunter Langley, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547 Phone: 910-450-3905 Fax: 910-450-4558 | |
Miss Karen Kathleen Bloch, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4357 | |
Ms. Rafaela Thomas, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4159 Fax: 910-450-4194 | |
Megan C Mondragon, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4357 | |
Carmen Traitor, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 252-342-5016 | |
Lisa Harris, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4136 Fax: 910-450-4558 |