Provider Demographics
NPI:1811700156
Name:ROCHA, EMILY STAUFFER (MSN, RN)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:STAUFFER
Last Name:ROCHA
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5416 TEXAS BLUEBELL DR
Mailing Address - Street 2:
Mailing Address - City:SPICEWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:78669-6889
Mailing Address - Country:US
Mailing Address - Phone:908-625-8141
Mailing Address - Fax:
Practice Address - Street 1:13343 N US HIGHWAY 183 STE 230
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-7160
Practice Address - Country:US
Practice Address - Phone:512-913-7007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-30
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1056074163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse