Provider Demographics
NPI:1467970160
Name:ROTHROCK, MELISSA MULLER (AGNP-C)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:MULLER
Last Name:ROTHROCK
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:MS
Other - First Name:MELISSA
Other - Middle Name:ANN
Other - Last Name:MULLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:THE CHAPEL HILL RESIDENTIAL RETIREMENT CENTER, INC. D/B
Mailing Address - Street 2:750 WEAVER DAIRY ROAD
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-1438
Mailing Address - Country:US
Mailing Address - Phone:919-918-3218
Mailing Address - Fax:919-918-3272
Practice Address - Street 1:THE CHAPEL HILL RESIDENTIAL RETIREMENT CENTER, INC. D/B
Practice Address - Street 2:750 WEAVER DAIRY ROAD
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-1438
Practice Address - Country:US
Practice Address - Phone:919-968-4511
Practice Address - Fax:919-918-3263
Is Sole Proprietor?:No
Enumeration Date:2017-09-01
Last Update Date:2017-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC208572363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology