Provider Demographics
NPI:1568350809
Name:WINDLEY, ROCHELLE
Entity type:Individual
Prefix:DR
First Name:ROCHELLE
Middle Name:
Last Name:WINDLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 BRUSHFIELD PARK DR
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:SC
Mailing Address - Zip Code:29045-8397
Mailing Address - Country:US
Mailing Address - Phone:803-361-0208
Mailing Address - Fax:
Practice Address - Street 1:408 BRUSHFIELD PARK DR
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:SC
Practice Address - Zip Code:29045-8397
Practice Address - Country:US
Practice Address - Phone:803-361-0208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC97612163WC1600X, 163WN1003X, 163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163WN1003XNursing Service ProvidersRegistered NurseNutrition Support