Provider Demographics
NPI:1275941155
Name:OCRAN, MARTHA (LPN)
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:
Last Name:OCRAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:383 WARBURTON AVE APT 3A
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1826
Mailing Address - Country:US
Mailing Address - Phone:626-736-6123
Mailing Address - Fax:
Practice Address - Street 1:383 WARBURTON AVE APT 3A
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1826
Practice Address - Country:US
Practice Address - Phone:626-736-6123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-24
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10 310611164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse