Healthcare Provider Details

I. General information

NPI: 1588287320
Provider Name (Legal Business Name): PAUL SIDDOWAY COCHRAN A.P.R.N
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2020
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 E MEDICAL CENTER DR
ST GEORGE UT
84790-2123
US

IV. Provider business mailing address

975 S 770 E
ST GEORGE UT
84790-5616
US

V. Phone/Fax

Practice location:
  • Phone: 435-251-2888
  • Fax:
Mailing address:
  • Phone: 801-471-1063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number898487
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number7014462-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: