Provider Demographics
NPI:1083430581
Name:OCHARO, VANE (FNP-C)
Entity type:Individual
Prefix:
First Name:VANE
Middle Name:
Last Name:OCHARO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20704 KILMER TRL
Mailing Address - Street 2:
Mailing Address - City:PORTER
Mailing Address - State:TX
Mailing Address - Zip Code:77365-7214
Mailing Address - Country:US
Mailing Address - Phone:832-893-4965
Mailing Address - Fax:
Practice Address - Street 1:15201 E FREEWAY SERVICE RD SUITE 118
Practice Address - Street 2:
Practice Address - City:CHANNELVIEW
Practice Address - State:TX
Practice Address - Zip Code:77530
Practice Address - Country:US
Practice Address - Phone:346-800-6001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-29
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1179910363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily