Individual
ROCHELLE MARIE WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3617 S PACIFIC HWY, MEDFORD, OR 97501-8957
(541) 535-6239
(541) 512-1026
Mailing address
30 CROCKER ST, ASHLAND, OR 97520-8786
(541) 201-8255
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
SP009483
PA
363LF0000X
Family Nurse Practitioner
Primary
200950002NP
OR
363LF0000X
Family Nurse Practitioner
SP009646
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R148182
MEDICARE PTAN
OR
Enumeration date
10/11/2007
Last updated
09/09/2011
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