Provider Demographics
NPI:1407407547
Name:VOCHASKA, ERIN RENE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:RENE
Last Name:VOCHASKA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:RENE
Other - Last Name:RAMSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:65281 COUNTY ROAD 384
Mailing Address - Street 2:
Mailing Address - City:SOUTH HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49090-9124
Mailing Address - Country:US
Mailing Address - Phone:269-998-1603
Mailing Address - Fax:
Practice Address - Street 1:602 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-4918
Practice Address - Country:US
Practice Address - Phone:616-394-5141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-20
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704267116NSA190QP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner