Provider Demographics
NPI:1275333817
Name:ROLFES, CHRISTINE CATHERINE (RN)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:CATHERINE
Last Name:ROLFES
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 ASHLEY PARK BLVD APT 1702
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-6415
Mailing Address - Country:US
Mailing Address - Phone:678-993-5933
Mailing Address - Fax:
Practice Address - Street 1:2830 HIGHWAY 54 STE 100
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-1026
Practice Address - Country:US
Practice Address - Phone:678-364-9165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN322077163WD1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD1100XNursing Service ProvidersRegistered NurseDialysis, Peritoneal