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NPI Code Detail

MEDICARE: ROCHELLE D PETITJEAN CRNA

MEDICARE: ROCHELLE D PETITJEAN CRNA
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
1367500000XCertified Registered Nurse Anesthetist047051TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629066709
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROCHELLE D PETITJEAN CRNA
Provider Business Mailing Address
First Line : 2572 S FRANKLIN ST
Second Line : DENVER CO 80210
City : DENVER
State : CO
Zip : 80210-5110
Country : US
Telephone Number : 720-570-0717
Fax Number :
Provider Business Practice Location Address
First Line : 13772 DENVER WEST PKWY
Second Line : BUILDING 55, SUITE 100
City : LAKEWOOD
State : CO
Zip : 80401-3139
Country : US
Telephone Number : 303-279-6600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 07/09/2007

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Directions to “ ROCHELLE D PETITJEAN CRNA” Practice Location

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