Provider Demographics
NPI:1063126019
Name:ROCHELLE, LINDA GAIL
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:GAIL
Last Name:ROCHELLE
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 1:101 CAMPAIGN DR
Mailing Address - Street 2:
Mailing Address - City:MEBANE
Mailing Address - State:NC
Mailing Address - Zip Code:27302-9947
Mailing Address - Country:US
Mailing Address - Phone:919-699-1191
Mailing Address - Fax:919-304-3947
Practice Address - Street 1:101 CAMPAIGN DR
Practice Address - Street 2:
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-9947
Practice Address - Country:US
Practice Address - Phone:919-699-1191
Practice Address - Fax:919-304-3947
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide