Provider Demographics
NPI:1699213157
Name:ROCKSTROH, DARCIE (CNP)
Entity Type:Individual
Prefix:MRS
First Name:DARCIE
Middle Name:
Last Name:ROCKSTROH
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6432 ASHLEY OAKS CT
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-5107
Mailing Address - Country:US
Mailing Address - Phone:513-387-9243
Mailing Address - Fax:
Practice Address - Street 1:10 N LOCUST ST STE D
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:OH
Practice Address - Zip Code:45056-1182
Practice Address - Country:US
Practice Address - Phone:513-523-2340
Practice Address - Fax:513-523-5080
Is Sole Proprietor?:No
Enumeration Date:2017-02-05
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.020473363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0204671Medicaid