Basic Information
| Provider Information | |||||||||
| NPI: | 1992208003 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PINKLE | ||||||||
| FirstName: | ROCHELLE | ||||||||
| MiddleName: | LYNN | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LPN | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 243 | ||||||||
| Address2: | |||||||||
| City: | WEST PITTSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 161600243 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7249444493 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2710 W STATE ST | ||||||||
| Address2: | |||||||||
| City: | NEW CASTLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 161018644 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7245987999 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/15/2018 | ||||||||
| LastUpdateDate: | 03/15/2018 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 164W00000X | PN263753 | PA | Y | Nursing Service Providers | Licensed Practical Nurse |
No ID Information.