Doctor Name: | ELIZABETH J COCKERLINE |
NPI Number: | 1215126511 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 54339 |
Business Practice Address: | 36 Bridge Way Pascoag, RI - 028593131 |
Business Phone Number: | 4015670800 |
Business Fax Number: | 4015687949 |
Mailing Address: | Po Box 312, PASCOAG |
State: | RI |
Postal Code: | 028590312 |
Phone Number: | 4015670800 |
Fax Number: | 4015670900 |
NPI Enumeration Date: | 10/23/2007 |
NPI Last Update Date: | 11/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 54339 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |