MEDICARE: HANNAH COCHRAN NP

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	5017601	NC

General Provider Information

NPI Number	:	1699471110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH COCHRAN NP

Provider Business Mailing Address
First Line	:	667 KINGSBOROUGH SQ STE 101
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-4999
Country	:	US
Telephone Number	:	757-842-4481
Fax Number	:	757-312-3135

Provider Business Practice Location Address
First Line	:	100 PLANK BRIDGE RD CT UNIT B
Second Line	:
City	:	CAMDEN
State	:	NC
Zip	:	27921-7027
Country	:	US
Telephone Number	:	252-331-1829
Fax Number	:	252-331-2916

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

Provider Enumeration Date	:	02/06/2023
Last Update Date	:	06/27/2024

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