Healthcare Provider Details

I. General information

NPI: 1992853170
Provider Name (Legal Business Name): THERESE E ROCHON R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2007
Last Update Date: 08/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 HEALTH LN
WARWICK RI
02886-2710
US

IV. Provider business mailing address

61 IROQUOIS DR
WARWICK RI
02888-3507
US

V. Phone/Fax

Practice location:
  • Phone: 401-737-6050
  • Fax: 401-737-3084
Mailing address:
  • Phone: 401-434-9874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNPP37119
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: