Healthcare Provider Details

I. General information

NPI: 1720512114
Provider Name (Legal Business Name): CATHERINE LINDSEY COCHRAN MSN, RN, NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2017
Last Update Date: 03/24/2021
Certification Date: 03/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 LEE ST
CHARLOTTESVILLE VA
22908-6914
US

IV. Provider business mailing address

1215 LEE ST. NICU PO BOX 801430
CHARLOTTESVILLE VA
22908
US

V. Phone/Fax

Practice location:
  • Phone: 434-924-2335
  • Fax: 434-982-0796
Mailing address:
  • Phone: 434-924-2335
  • Fax: 434-243-6951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberAP09270
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number0001292923
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: