Provider Demographics
NPI:1407823941
Name:HOCKEY, DANIELLE TERESA (PNP)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:TERESA
Last Name:HOCKEY
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 401
Mailing Address - Street 2:BOX 181
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09076
Mailing Address - Country:DE
Mailing Address - Phone:0604-295-2494
Mailing Address - Fax:
Practice Address - Street 1:UNIT 20193
Practice Address - Street 2:BOX 0063
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09165-0063
Practice Address - Country:DE
Practice Address - Phone:060-428-0789
Practice Address - Fax:060-428-0701
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024164266363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics