Provider Demographics
NPI:1932586229
Name:STITT, ROCHELLE EVA
Entity type:Individual
Prefix:MISS
First Name:ROCHELLE
Middle Name:EVA
Last Name:STITT
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 1:1441 W A ST
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:WY
Mailing Address - Zip Code:82240-3319
Mailing Address - Country:US
Mailing Address - Phone:307-534-6683
Mailing Address - Fax:
Practice Address - Street 1:1441 W A ST
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:WY
Practice Address - Zip Code:82240-3319
Practice Address - Country:US
Practice Address - Phone:307-534-6683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-06
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator