Rochelle Fontana
Individual provider Active NPI Geriatric Pharmacist · Clyde Hill, WA
NPI 1962756965 · NPPES record last updated Oct 30, 2012
Key facts
- NPI
- 1962756965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Pharmacist 1835G0303X
- License
- PH00067556 (WA)
- Practice address
- 2726 95TH Ave NE
Clyde Hill, WA 98004-1717 - Phone
- (425) 577-1801
- NPI assigned
- Oct 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00067556 | WA | MD | Geriatric Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | PH00067556 | WA | Yes |
Addresses
Primary practice location
2726 95TH Ave NE
Clyde Hill, WA 98004-1717
Mailing address
2726 95TH Ave NE
Clyde Hill, WA 98004-1717
Phone (425) 577-1801
Other providers in Clyde Hill, WA
All providers in Clyde Hill, WA · Geriatric Pharmacist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.