Healthcare Provider Details

I. General information

NPI: 1982880449
Provider Name (Legal Business Name): ROCA QUITUGNA SABLAN RN BSN CNMNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2008
Last Update Date: 01/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GARAPAN LOWER NAVY HILL
SAIPAN MP
96950
US

IV. Provider business mailing address

PO BOX 500409 CK COMMONWEALTH HEALTH CENTER
GARAPAN SAIPAN MP
96950
US

V. Phone/Fax

Practice location:
  • Phone: 670-236-8666
  • Fax: 670-236-8606
Mailing address:
  • Phone: 670-236-8666
  • Fax: 670-236-8606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number0066
License Number StateMP
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberR97497
License Number StateMP

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: