Provider Demographics
NPI:1073491965
Name:ROLLE, SHERISE ROCHELLE LAVANIA (BS RN CNN)
Entity type:Individual
Prefix:MRS
First Name:SHERISE
Middle Name:ROCHELLE LAVANIA
Last Name:ROLLE
Suffix:
Gender:F
Credentials:BS RN CNN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1590 NW 128TH DR APT 102
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-5217
Mailing Address - Country:US
Mailing Address - Phone:954-994-5034
Mailing Address - Fax:
Practice Address - Street 1:1590 NW 128TH DR APT 102
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-5217
Practice Address - Country:US
Practice Address - Phone:954-994-5034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9610757163WN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0300XNursing Service ProvidersRegistered NurseNephrology