Healthcare Provider Details

I. General information

NPI: 1467316422
Provider Name (Legal Business Name): ANGELA FAYE HOCKER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 KEENE RD BLDG M
RICHLAND WA
99352-7754
US

IV. Provider business mailing address

21723 N WEBBER CANYON RD
BENTON CITY WA
99320-9547
US

V. Phone/Fax

Practice location:
  • Phone: 509-302-5770
  • Fax:
Mailing address:
  • Phone: 541-515-0336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number201705379RN
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60789115
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: