Healthcare Provider Details

I. General information

NPI: 1407823941
Provider Name (Legal Business Name): DANIELLE TERESA HOCKEY PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/03/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIT 20193 BOX 0063
APO AE
09165-0063
DE

IV. Provider business mailing address

CMR 401 BOX 181
APO AE
09076
DE

V. Phone/Fax

Practice location:
  • Phone: 60-428-0789
  • Fax: 60-428-0701
Mailing address:
  • Phone: 06042952494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number0024164266
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: