Provider Demographics
NPI:1033818513
Name:COCHRANE, MICHELLE MARIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:MARIE
Last Name:COCHRANE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:MARIE
Other - Last Name:ZOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8572 STATE HIGHWAY 32
Mailing Address - Street 2:
Mailing Address - City:HILES
Mailing Address - State:WI
Mailing Address - Zip Code:54511-9079
Mailing Address - Country:US
Mailing Address - Phone:715-216-9504
Mailing Address - Fax:
Practice Address - Street 1:8572 STATE HIGHWAY 32
Practice Address - Street 2:
Practice Address - City:HILES
Practice Address - State:WI
Practice Address - Zip Code:54511-9079
Practice Address - Country:US
Practice Address - Phone:715-216-9504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-23
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI157136163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse