Provider Demographics
NPI:1194844464
Name:COLLADO, ROCHELLE ANDRES (NP)
Entity Type:Individual
Prefix:MISS
First Name:ROCHELLE
Middle Name:ANDRES
Last Name:COLLADO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7933 E MONTE CARLO AVE
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92808-1562
Mailing Address - Country:US
Mailing Address - Phone:619-733-5222
Mailing Address - Fax:
Practice Address - Street 1:700 W BALL RD
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92802-1843
Practice Address - Country:US
Practice Address - Phone:714-781-4205
Practice Address - Fax:714-781-4249
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2022-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11928363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily