Provider Demographics
NPI:1235529942
Name:COCHRAN, NATALIE (RDH)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4431 GERTIE AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-1737
Mailing Address - Country:US
Mailing Address - Phone:402-202-0485
Mailing Address - Fax:
Practice Address - Street 1:4431 GERTIE AVE
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-1737
Practice Address - Country:US
Practice Address - Phone:402-202-0485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-02
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2245124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist