Healthcare Provider Details

I. General information

NPI: 1790151462
Provider Name (Legal Business Name): ROCHELLE FAUSNEAUCHT MSN, RN, ACCNS-AG-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2015
Last Update Date: 06/23/2022
Certification Date: 06/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 SIXTH ST SW
CANTON OH
44710-1702
US

IV. Provider business mailing address

1154 WINDING RIDGE AVE
LOUISVILLE OH
44641-2278
US

V. Phone/Fax

Practice location:
  • Phone: 330-363-9616
  • Fax:
Mailing address:
  • Phone: 330-418-3777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberRN172403
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: