Provider Demographics
NPI:1275047896
Name:ROCHA, LAUREN (DNP, CPNP-PC)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:
Last Name:ROCHA
Suffix:
Gender:F
Credentials:DNP, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 NE HIGH STREET
Mailing Address - Street 2:SUITE #200
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98029-3128
Mailing Address - Country:US
Mailing Address - Phone:562-665-2308
Mailing Address - Fax:
Practice Address - Street 1:1011 NE HIGH STREET
Practice Address - Street 2:SUITE #200
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98029-3128
Practice Address - Country:US
Practice Address - Phone:425-391-7337
Practice Address - Fax:425-391-3915
Is Sole Proprietor?:No
Enumeration Date:2017-11-17
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61354258363LP0200X
TXAP134932363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics