Provider Demographics
NPI:1972969301
Name:COHEN, ROCHELLE ELAINE (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:ROCHELLE
Middle Name:ELAINE
Last Name:COHEN
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MORSE ST
Mailing Address - Street 2:2ND FLOOR WEST ENTRANCE
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-4679
Mailing Address - Country:US
Mailing Address - Phone:781-769-4090
Mailing Address - Fax:
Practice Address - Street 1:100 MORSE ST
Practice Address - Street 2:2ND FLOOR WEST ENTRANCE
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-4679
Practice Address - Country:US
Practice Address - Phone:781-769-4090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-14
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN191138363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics