Healthcare Provider Details

I. General information

NPI: 1902862618
Provider Name (Legal Business Name): HIRAM D COCHRAN CNNP
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

347 SMITH AVE N CHILDRENS SPECIALTY CLINIC NICU
SAINT PAUL MN
55102-2387
US

IV. Provider business mailing address

2910 CENTRE POINTE DR CHILDRENS HEALTH CARE 35121A
ROSEVILLE MN
55113-1182
US

V. Phone/Fax

Practice location:
  • Phone: 651-220-6210
  • Fax: 651-220-7777
Mailing address:
  • Phone: 651-855-2327
  • Fax: 651-855-2310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberR0804798
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberR0804798
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: