Provider Demographics
NPI:1265210546
Name:MCHENRY, ROCHELLE S
Entity type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:S
Last Name:MCHENRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1745 WOODCLIFF PL NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-2439
Mailing Address - Country:US
Mailing Address - Phone:785-477-9928
Mailing Address - Fax:
Practice Address - Street 1:12 W POCAHONTAS LN
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-3022
Practice Address - Country:US
Practice Address - Phone:785-477-9928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018036995163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical