Provider Demographics
NPI:1558828715
Name:SALDANA, ROCHELLE BERNICE (LPN)
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:BERNICE
Last Name:SALDANA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31586 HIDDENBROOK DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48047-5949
Mailing Address - Country:US
Mailing Address - Phone:586-419-1682
Mailing Address - Fax:
Practice Address - Street 1:31586 HIDDENBROOK DR
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MI
Practice Address - Zip Code:48047-5949
Practice Address - Country:US
Practice Address - Phone:586-419-1682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4703077216164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse