Provider Demographics
NPI:1912793860
Name:DURAN, ROCHELLE C
Entity type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:C
Last Name:DURAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3236 E CHANDLER BLVD UNIT 3098
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-5835
Mailing Address - Country:US
Mailing Address - Phone:480-347-0655
Mailing Address - Fax:
Practice Address - Street 1:3236 E CHANDLER BLVD UNIT 3098
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048-5835
Practice Address - Country:US
Practice Address - Phone:480-347-0655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child