Healthcare Provider Details

I. General information

NPI: 1427023837
Provider Name (Legal Business Name): ROCHELLE M LAMB APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROCHELLE L MILLER APN

II. Dates (important events)

Enumeration Date: 02/20/2006
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5911 N HONORE AVE STE 210
SARASOTA FL
34243-2657
US

IV. Provider business mailing address

PO BOX 834
COOKEVILLE TN
38503-0834
US

V. Phone/Fax

Practice location:
  • Phone: 941-308-7546
  • Fax:
Mailing address:
  • Phone: 931-528-0002
  • Fax: 931-528-1515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberAPN7126
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN11031490
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11031490
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: