Provider Demographics
NPI:1285841098
Name:OCOCK, ERIN L (RN BSPA)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:L
Last Name:OCOCK
Suffix:
Gender:F
Credentials:RN BSPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12749 W ROANOKE AVE
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85323-7073
Mailing Address - Country:US
Mailing Address - Phone:623-536-8382
Mailing Address - Fax:
Practice Address - Street 1:1617 S 67TH AVE
Practice Address - Street 2:FOWLER SCHOOL DISTRICT
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85035
Practice Address - Country:US
Practice Address - Phone:602-707-4500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN061816163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool