Provider Demographics
NPI:1528038502
Name:OCKER, KAREN JANINA (CRNA, MSN)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:JANINA
Last Name:OCKER
Suffix:
Gender:F
Credentials:CRNA, MSN
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:JANINA
Other - Last Name:ZANKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA,BSN
Mailing Address - Street 1:19 LENAPE DR
Mailing Address - Street 2:
Mailing Address - City:MONTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07045-9722
Mailing Address - Country:US
Mailing Address - Phone:973-335-8084
Mailing Address - Fax:973-335-8084
Practice Address - Street 1:495 N 13TH ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07107-1317
Practice Address - Country:US
Practice Address - Phone:973-268-1480
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ021780367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
021780OtherCRNA
NJNR03183700OtherRN LICENSE
NJ561427Medicare UPIN
021780OtherCRNA