MEDICARE: ROCHELLE LINNETTE SYLVESTER RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	847345	TX

General Provider Information

NPI Number	:	1902305378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROCHELLE LINNETTE SYLVESTER RN

Provider Business Mailing Address
First Line	:	1204 BAYBROOKE LN APT 412
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-6345
Country	:	US
Telephone Number	:	817-323-0456
Fax Number	:

Provider Business Practice Location Address
First Line	:	1204 BAYBROOKE LN APT 412
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-6345
Country	:	US
Telephone Number	:	817-323-0456
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2018
Last Update Date	:	02/12/2018

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