Provider Demographics
NPI:1922992247
Name:RORAFF, HOLLY NICHOLE (RD)
Entity type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:NICHOLE
Last Name:RORAFF
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:NICHOLE
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:39000 BOB HOPE DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-3221
Mailing Address - Country:US
Mailing Address - Phone:760-773-1403
Mailing Address - Fax:760-773-1880
Practice Address - Street 1:39000 BOB HOPE DR
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-3221
Practice Address - Country:US
Practice Address - Phone:760-773-1403
Practice Address - Fax:760-773-1880
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86344616174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator