Roche, Yolanda Marie
Roche, Yolanda Marie is an individual health care provider with primary practice located at 1001 N Hickory Rd Ste 3 , South Bend IN 46615-3700. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Roche, Yolanda Marie can be contacted via phone (574) 220-4778.Contact Information
Primary practice address
1001 N Hickory Rd Ste 3
South Bend IN 46615-3700
Phone: (574) 220-4778
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | 4704267670 | Michigan |
| Nursing Service Providers / General Practice | 163WG0000X | 28165052A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71009578A | Indiana |
Profile Details
| NPI number | 1295397206 |
|---|---|
| LBN Legal business name | Roche, Yolanda Marie |
| Credentials | MSN, APRN, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2019 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295397206 | NPPES |
| Indiana | Other | 71009578B | CONTROLLED SUBSTANCES REGISTRATION |
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