Provider Demographics
NPI:1750444667
Name:STERN, ROCHELLE (ARNP)
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:
Last Name:STERN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8843 HEARTSONG TER
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33473
Mailing Address - Country:US
Mailing Address - Phone:561-376-9818
Mailing Address - Fax:
Practice Address - Street 1:8843 HEARTSONG TERRACE
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33473
Practice Address - Country:US
Practice Address - Phone:561-376-9818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9199144367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP9199144OtherREGISTERED NURSE PRACTITI