Provider Demographics
NPI:1689780207
Name:STORM, ROCHELLE RENEE (RNP)
Entity Type:Individual
Prefix:MS
First Name:ROCHELLE
Middle Name:RENEE
Last Name:STORM
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:MRS
Other - First Name:ROCHELLE
Other - Middle Name:STORM
Other - Last Name:SOLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9086 E BELLEVUE ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-5652
Mailing Address - Country:US
Mailing Address - Phone:520-571-6058
Mailing Address - Fax:
Practice Address - Street 1:3601 S 6TH AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85723-0001
Practice Address - Country:US
Practice Address - Phone:520-792-1450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN046988363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health