Provider Demographics
NPI:1013958156
Name:ROCCHI, WILLIAM D (CRNA)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:D
Last Name:ROCCHI
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5628
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-5628
Mailing Address - Country:US
Mailing Address - Phone:910-315-9812
Mailing Address - Fax:910-235-0985
Practice Address - Street 1:155 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-8710
Practice Address - Country:US
Practice Address - Phone:910-715-1233
Practice Address - Fax:910-715-1943
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC052511367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8051455Medicaid
NC2618322BMedicare ID - Type Unspecified