Provider Demographics
NPI:1891138293
Name:ROCHER, PATRICE JEAN MARCEAU (ANP)
Entity Type:Individual
Prefix:MR
First Name:PATRICE
Middle Name:JEAN MARCEAU
Last Name:ROCHER
Suffix:
Gender:M
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 CALIFORNIA ST STE 370
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-4589
Mailing Address - Country:US
Mailing Address - Phone:415-292-9756
Mailing Address - Fax:
Practice Address - Street 1:1700 CALIFORNIA ST STE 370
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-4589
Practice Address - Country:US
Practice Address - Phone:415-292-9756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-16
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20997363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health