Healthcare Provider Details

I. General information

NPI: 1568523769
Provider Name (Legal Business Name): ROCHELLE RENEE HOWARD CRNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10460 BLOCKADE DR
RENO NV
89521-5264
US

IV. Provider business mailing address

10460 BLOCKADE DR
RENO NV
89521-5264
US

V. Phone/Fax

Practice location:
  • Phone: 775-851-3446
  • Fax:
Mailing address:
  • Phone: 775-851-3446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberRN18267
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: