Provider Demographics
NPI:1477853646
Name:HOCKER, SUE E
Entity Type:Individual
Prefix:MS
First Name:SUE
Middle Name:E
Last Name:HOCKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 MAYA CT
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-3367
Mailing Address - Country:US
Mailing Address - Phone:707-291-4308
Mailing Address - Fax:
Practice Address - Street 1:2501 MAYA CT
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-3367
Practice Address - Country:US
Practice Address - Phone:707-291-4308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula