| Doctor Name: | BANEE M ROCK |
| NPI Number: | 1043354830 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 88789 |
| Business Practice Address: | 4851 Independence St Ste 270 Wheat Ridge, CO - 800336712 |
| Business Phone Number: | 3034675785 |
| Business Fax Number: | |
| Mailing Address: | 8474 Chase Dr, ARVADA |
| State: | CO |
| Postal Code: | 800031200 |
| Phone Number: | 3034245832 |
| Fax Number: | |
| NPI Enumeration Date: | 02/16/2007 |
| NPI Last Update Date: | 11/01/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 88789 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |