MEDICARE: DANIELLE TERESA HOCKEY PNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	0024164266	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407823941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE TERESA HOCKEY PNP

Provider Business Mailing Address
First Line	:	CMR 401
Second Line	:	BOX 181
City	:	APO
State	:	AE
Zip	:	09076
Country	:	DE
Telephone Number	:	06042952494
Fax Number	:

Provider Business Practice Location Address
First Line	:	UNIT 20193
Second Line	:	BOX 0063
City	:	APO
State	:	AE
Zip	:	09165-0063
Country	:	DE
Telephone Number	:	60-428-0789
Fax Number	:	60-428-0701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2006
Last Update Date	:	07/21/2022

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