Individual
GEORGE ROCCAFORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ENP
Contact information
Practice address
1919 N AMIDON AVE STE 100, WICHITA, KS 67203-2118
(316) 866-2000
Mailing address
1122 N TOPEKA ST, WICHITA, KS 67214-2810
(316) 866-2000
(316) 866-2084
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
245101
TX
363LF0000X
Family Nurse Practitioner
Primary
77366
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148000601
—
TX
05
—
148000602
—
TX
05
—
148000604
—
TX
Enumeration date
07/13/2006
Last updated
02/07/2017
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