Healthcare Provider Details

I. General information

NPI: 1992238166
Provider Name (Legal Business Name): JANICE RORABECK AGACNP-BC, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2017
Last Update Date: 09/10/2020
Certification Date: 09/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

485 S DOBSON RD STE 201
CHANDLER AZ
85224
US

IV. Provider business mailing address

3030 N CENTRAL AVE STE 1001
PHOENIX AZ
85012-2716
US

V. Phone/Fax

Practice location:
  • Phone: 480-728-4700
  • Fax: 480-728-4747
Mailing address:
  • Phone: 602-406-4786
  • Fax: 916-636-4358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP10021
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP10021
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN137338
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: