MEDICARE: CHRISTINA ROCHE APRN, FNP-C, CCRN

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	363LF0000X	Family Nurse Practitioner	0024194319	VA
2	363LF0000X	Family Nurse Practitioner	APRN11031942	FL

General Provider Information

NPI Number	:	1134005820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA ROCHE APRN, FNP-C, CCRN

Provider Business Mailing Address
First Line	:	108 ARTILLERY RD
Second Line	:
City	:	YORKTOWN
State	:	VA
Zip	:	23692-4223
Country	:	US
Telephone Number	:	727-858-6634
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 ARTILLERY RD
Second Line	:
City	:	YORKTOWN
State	:	VA
Zip	:	23692-4223
Country	:	US
Telephone Number	:	727-858-6634
Fax Number	:

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

Provider Enumeration Date	:	08/15/2025
Last Update Date	:	02/11/2026

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