Individual
STEFANIA ROK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
405 W COUNTRY CLUB RD, ROSWELL, NM 88201-5209
(575) 622-8170
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA-01087
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64830381
—
NM
01
—
P00910995
RR MEDICARE
NM
Enumeration date
07/12/2010
Last updated
11/27/2013
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