Provider Demographics
NPI:1922804772
Name:ROPCHAK, AZARELLE CHERISS (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:AZARELLE
Middle Name:CHERISS
Last Name:ROPCHAK
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3207 SILVER SADDLE DR
Mailing Address - Street 2:
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86406-6263
Mailing Address - Country:US
Mailing Address - Phone:928-486-3261
Mailing Address - Fax:
Practice Address - Street 1:3207 SILVER SADDLE DR
Practice Address - Street 2:
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86406-6263
Practice Address - Country:US
Practice Address - Phone:928-486-3261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZL-316496163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant