Individual
ROCHELLE LEE TATARKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP, PMHNP
Contact information
Practice address
123 S MILLER RD SUITE G, FAIRLAWN, OH 44333-4180
(330) 414-6781
Mailing address
1616 GARMAN RD, AKRON, OH 44313-6302
(330) 774-1743
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.380183
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0032193
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588191233
—
OH
Enumeration date
05/12/2017
Last updated
05/07/2023
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