Provider Demographics
NPI:1053647883
Name:ROCKLIN, DENISE ANN (MSN)
Entity Type:Individual
Prefix:MISS
First Name:DENISE
Middle Name:ANN
Last Name:ROCKLIN
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-2609
Mailing Address - Country:US
Mailing Address - Phone:513-761-7316
Mailing Address - Fax:
Practice Address - Street 1:235 HILLCREST DR
Practice Address - Street 2:375 DIXMYTH AVENUE
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-2609
Practice Address - Country:US
Practice Address - Phone:513-761-7316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-29
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.04696-NS364SL0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SL0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistLong-Term Care