Provider Demographics
NPI:1649529314
Name:GINEZ, ROCHELLE FARREDEH (RN)
Entity type:Individual
Prefix:MRS
First Name:ROCHELLE
Middle Name:FARREDEH
Last Name:GINEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ROCHELLE
Other - Middle Name:FARREDEH
Other - Last Name:ROMO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2579 NOPILI ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-6022
Mailing Address - Country:US
Mailing Address - Phone:808-342-6815
Mailing Address - Fax:
Practice Address - Street 1:BLDG 3089 D STREET (MCBH)
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734
Practice Address - Country:US
Practice Address - Phone:808-257-5041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-10
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN-72384163W00000X
AZRN171892163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse