Provider Demographics
NPI:1063021640
Name:KOCHER, BROOKE N (CRNP)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:N
Last Name:KOCHER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1502 LAPLACE POINT CT APT 30
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-9736
Mailing Address - Country:US
Mailing Address - Phone:724-657-4954
Mailing Address - Fax:
Practice Address - Street 1:1502 LAPLACE POINT CT APT 30
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-9736
Practice Address - Country:US
Practice Address - Phone:724-657-4954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP022187363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily