Provider Demographics
NPI:1669944963
Name:STOCK, FALICIA ROCHELLE (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:FALICIA
Middle Name:ROCHELLE
Last Name:STOCK
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 MAGNET
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-0880
Mailing Address - Country:US
Mailing Address - Phone:949-735-4247
Mailing Address - Fax:
Practice Address - Street 1:181 MAGNET
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-0880
Practice Address - Country:US
Practice Address - Phone:949-735-4247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-26
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA723640163W00000X
CA95011212363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse