MEDICARE: TORREY ANN DEROCHER CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	CNM07333	MI

General Provider Information

NPI Number	:	1023787975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TORREY ANN DEROCHER CNM

Provider Business Mailing Address
First Line	:	4761 BRIARWOOD CT
Second Line	:
City	:	AUBURN
State	:	MI
Zip	:	48611-8514
Country	:	US
Telephone Number	:	989-620-4208
Fax Number	:

Provider Business Practice Location Address
First Line	:	3016 W WACKERLY ST
Second Line	:
City	:	MIDLAND
State	:	MI
Zip	:	48640-6960
Country	:	US
Telephone Number	:	989-631-6730
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2021
Last Update Date	:	09/13/2021

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