Provider Demographics
NPI:1669817102
Name:WARWICK, ROCHELLE LYNN (RN)
Entity Type:Individual
Prefix:MS
First Name:ROCHELLE
Middle Name:LYNN
Last Name:WARWICK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14133 W COUNTY RD E
Mailing Address - Street 2:
Mailing Address - City:STONE LAKE
Mailing Address - State:WI
Mailing Address - Zip Code:54876-4009
Mailing Address - Country:US
Mailing Address - Phone:715-699-2727
Mailing Address - Fax:
Practice Address - Street 1:516 E NIZHONI BLVD
Practice Address - Street 2:
Practice Address - City:GALLUP
Practice Address - State:NM
Practice Address - Zip Code:87301-5748
Practice Address - Country:US
Practice Address - Phone:505-722-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-09
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI194730-30163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical