Individual provider · Type 1 NPI
Rochelle Laverne Staten, NP
Gerontology Nurse Practitioner · San Antonio, TX
NPI number
1679671523
Active
Practice location
6531 FM 78 Ste 110
San Antonio, TX 78244-1456
Fax (210) 618-0324
Mailing address
9832 Logans Ridge Dr
Converse, TX 78109-2765
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 458635 (TX) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1679671523
Rochelle Laverne Staten, NP's National Provider Identifier is 1679671523, issued on Sep 21, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in San Antonio, TX. The record was last updated on Jan 21, 2026.