Provider Demographics
NPI:1417986860
Name:NAZARIAN, ROCHELLE (NP)
Entity Type:Individual
Prefix:MRS
First Name:ROCHELLE
Middle Name:
Last Name:NAZARIAN
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 1:140 COMMONWEALTH AVE
Mailing Address - Street 2:STE 202
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-3629
Mailing Address - Country:US
Mailing Address - Phone:978-762-6262
Mailing Address - Fax:978-750-8312
Practice Address - Street 1:140 COMMONWEALTH AVE
Practice Address - Street 2:STE 202
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-3629
Practice Address - Country:US
Practice Address - Phone:978-762-6262
Practice Address - Fax:978-750-8312
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA203255363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily