Provider Demographics
NPI:1417654617
Name:ROCHA LOBATOS, NORMA
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:
Last Name:ROCHA LOBATOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5912 HOLLOWRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-1451
Mailing Address - Country:US
Mailing Address - Phone:720-581-1859
Mailing Address - Fax:
Practice Address - Street 1:5912 HOLLOWRIDGE RD
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-1451
Practice Address - Country:US
Practice Address - Phone:720-581-1859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide