Provider Demographics
NPI:1699213157
Name:ROCKSTROH, DARCIE (CNP)
Entity type:Individual
Prefix:MRS
First Name:DARCIE
Middle Name:
Last Name:ROCKSTROH
Suffix:
Gender:
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6432 ASHLEY OAKS CT
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-5107
Mailing Address - Country:US
Mailing Address - Phone:513-387-9243
Mailing Address - Fax:
Practice Address - Street 1:3430 BURNET AVE
Practice Address - Street 2:MOB, 2ND FLOOR - ML 5016
Practice Address - City:CINCINNATI OHIO
Practice Address - State:OH
Practice Address - Zip Code:45229
Practice Address - Country:US
Practice Address - Phone:513-636-4225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-05
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3011148363L00000X
OHAPRN.CNP.020473363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0204671Medicaid