Provider Demographics
NPI:1114905247
Name:COCKERHAM, ANNE ZSCHOCHE (CNM)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:ZSCHOCHE
Last Name:COCKERHAM
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:BOWEN
Other - Last Name:ZSCHOCHE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19465 DEERFIELD AVENUE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176
Mailing Address - Country:US
Mailing Address - Phone:703-726-1300
Mailing Address - Fax:703-726-9612
Practice Address - Street 1:19465 DEERFIELD AVENUE
Practice Address - Street 2:SUITE 205
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176
Practice Address - Country:US
Practice Address - Phone:703-726-1300
Practice Address - Fax:703-726-9612
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2007-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024166129367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA009762L19Medicare PIN
VAC06319Medicare PIN
VAQ64902Medicare UPIN