Provider Demographics
NPI:1609316728
Name:ROCKE, MICHELE DARLENE (FNP)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:DARLENE
Last Name:ROCKE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 LENNOX ST
Mailing Address - Street 2:
Mailing Address - City:RHINELANDER
Mailing Address - State:WI
Mailing Address - Zip Code:54501-2644
Mailing Address - Country:US
Mailing Address - Phone:715-614-9497
Mailing Address - Fax:
Practice Address - Street 1:504 LENNOX ST
Practice Address - Street 2:
Practice Address - City:RHINELANDER
Practice Address - State:WI
Practice Address - Zip Code:54501-2644
Practice Address - Country:US
Practice Address - Phone:715-614-9497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-08
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7560-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily