| Doctor Name: | MISS AMBER KAYLA COCHRAN |
| NPI Number: | 1023240082 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 64486 |
| Business Practice Address: | 527 Medical Park Dr Ste 400 Bridgeport, WV - 263309010 |
| Business Phone Number: | 6813423550 |
| Business Fax Number: | 6813423507 |
| Mailing Address: | 527 Medical Park Dr Ste 400, BRIDGEPORT |
| State: | WV |
| Postal Code: | 263309010 |
| Phone Number: | 6813423550 |
| Fax Number: | 6813423507 |
| NPI Enumeration Date: | 08/10/2009 |
| NPI Last Update Date: | 05/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 64486 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |