Provider Demographics
NPI:1215142443
Name:ROCHEFORT, JULIE COLLINGS (RN, NP-C, DNP)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:COLLINGS
Last Name:ROCHEFORT
Suffix:
Gender:F
Credentials:RN, NP-C, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:411 HILLCREST ST
Mailing Address - Street 2:
Mailing Address - City:EL SEGUNDO
Mailing Address - State:CA
Mailing Address - Zip Code:90245
Mailing Address - Country:US
Mailing Address - Phone:310-213-0082
Mailing Address - Fax:323-757-2068
Practice Address - Street 1:2501 W. EL SEGUNDO BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:HAWTHRONE
Practice Address - State:CA
Practice Address - Zip Code:90275
Practice Address - Country:US
Practice Address - Phone:424-456-8933
Practice Address - Fax:323-757-2068
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16669363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health