Provider Demographics
NPI:1972147551
Name:ROTCHFORD, ANNE MARIE (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:ANNE MARIE
Middle Name:
Last Name:ROTCHFORD
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MRS
Other - First Name:ANNE MARIE
Other - Middle Name:
Other - Last Name:ROTCHFORD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:2400 HALSEY ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-3646
Mailing Address - Country:US
Mailing Address - Phone:718-430-0753
Mailing Address - Fax:718-430-0739
Practice Address - Street 1:2400 HALSEY ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-3646
Practice Address - Country:US
Practice Address - Phone:718-430-0753
Practice Address - Fax:718-430-0739
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-06
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY538161163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse