Provider Demographics
NPI:1306695622
Name:COCKS, KATHERINE ANNE (RN)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ANNE
Last Name:COCKS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9828 NE 23RD ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73141-4208
Mailing Address - Country:US
Mailing Address - Phone:405-769-2551
Mailing Address - Fax:
Practice Address - Street 1:9828 NE 23RD ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73141-4208
Practice Address - Country:US
Practice Address - Phone:405-769-2551
Practice Address - Fax:405-769-6255
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR49667163WG0600X, 163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WG0600XNursing Service ProvidersRegistered NurseGerontology