Provider Demographics
NPI:1407312648
Name:POCHOPIEN, KEYSHA ANN (AHCNS-BC)
Entity Type:Individual
Prefix:MRS
First Name:KEYSHA
Middle Name:ANN
Last Name:POCHOPIEN
Suffix:
Gender:F
Credentials:AHCNS-BC
Other - Prefix:MS
Other - First Name:KEYSHA
Other - Middle Name:ANN
Other - Last Name:MCKENZIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7807 CAMELLIA RD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23518-4617
Mailing Address - Country:US
Mailing Address - Phone:618-975-4065
Mailing Address - Fax:
Practice Address - Street 1:600 GRESHAM DR
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1904
Practice Address - Country:US
Practice Address - Phone:757-388-8789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-12
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0015001038364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist