Individual
SHAYNA DEVORAH ROCKOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13230 MANCHESTER RD, DES PERES, MO 63131-1706
(314) 821-2886
Mailing address
5132 N ELSTON AVE, CHICAGO, IL 60630-2429
(847) 235-6130
(847) 941-0577
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017035520
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
10/30/2017
Last updated
02/27/2020
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