Provider Demographics
NPI:1790442655
Name:MEYER-HALL, ROCHELLE ELIZABETH (NP)
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:ELIZABETH
Last Name:MEYER-HALL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11414 PERKINS ST
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-3434
Mailing Address - Country:US
Mailing Address - Phone:760-994-5762
Mailing Address - Fax:
Practice Address - Street 1:800 S RANGELINE RD STE 290
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2674
Practice Address - Country:US
Practice Address - Phone:317-343-9443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-25
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71011475A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily