MEDICARE: MS. MARIANNE A. HOCKING N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	NP-00896	OH
2	363L00000X	Nurse Practitioner	RN-138829	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447365952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIANNE A. HOCKING N.P.

Provider Business Mailing Address
First Line	:	1001 LAKESIDE AVE E
Second Line	:	#1200
City	:	CLEVELAND
State	:	OH
Zip	:	44114-1158
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20575 CENTER RIDGE RD
Second Line	:	#500
City	:	ROCKY RIVER
State	:	OH
Zip	:	44116-3422
Country	:	US
Telephone Number	:	216-524-7377
Fax Number	:	440-895-3957

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	10/08/2013

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