Provider Demographics
NPI:1215826920
Name:KRULL, ROCHELLE D
Entity type:Individual
Prefix:MRS
First Name:ROCHELLE
Middle Name:D
Last Name:KRULL
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 1:1200 MCDONALD RD
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-6462
Mailing Address - Country:US
Mailing Address - Phone:308-530-4350
Mailing Address - Fax:
Practice Address - Street 1:1200 MCDONALD RD
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-6462
Practice Address - Country:US
Practice Address - Phone:308-530-4350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE20240001439101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool