| Doctor Name: | ROCHELLE BELL ETTLINGER |
| NPI Number: | 1538550876 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | 597487 |
| Business Practice Address: | 2100 Dorcester Avenue Carney Hospital Department Of Psychiatry Dorcester, MA - 02122 |
| Business Phone Number: | 6175625361 |
| Business Fax Number: | |
| Mailing Address: | 15 Chatham Street Ext, MALDEN |
| State: | MA |
| Postal Code: | 021482310 |
| Phone Number: | 7819416023 |
| Fax Number: | |
| NPI Enumeration Date: | 02/09/2015 |
| NPI Last Update Date: | 02/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 597487 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |