Individual
STEFANI ROCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1001 NW CANAL BLVD STE A, REDMOND, OR 97756-1697
(541) 382-4900
Mailing address
PO BOX 6048, BEND, OR 97708-6048
(541) 382-4900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
202200121NP-PP
OR
363L00000X
Nurse Practitioner
95015721
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500829524
—
OR
Enumeration date
09/03/2020
Last updated
09/18/2025
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