Provider Demographics
NPI:1841628187
Name:COCHRANE, NICHOLE DANA (RN)
Entity type:Individual
Prefix:
First Name:NICHOLE
Middle Name:DANA
Last Name:COCHRANE
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 1:2105 E STEPHENS RD
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-2109
Mailing Address - Country:US
Mailing Address - Phone:480-917-9900
Mailing Address - Fax:480-917-3400
Practice Address - Street 1:1945 S ASHLAND RANCH RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-4993
Practice Address - Country:US
Practice Address - Phone:480-917-9900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN170390163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse