Provider Demographics
NPI:1568131035
Name:COCHRAN, ROXXANE (RN)
Entity Type:Individual
Prefix:
First Name:ROXXANE
Middle Name:
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ROXXANE
Other - Middle Name:
Other - Last Name:CARBONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4553 N 154TH AVE
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-6309
Mailing Address - Country:US
Mailing Address - Phone:623-329-8969
Mailing Address - Fax:
Practice Address - Street 1:13000 W INDIAN SCHOOL RD STE A2
Practice Address - Street 2:
Practice Address - City:LITCHFIELD PARK
Practice Address - State:AZ
Practice Address - Zip Code:85340-6583
Practice Address - Country:US
Practice Address - Phone:623-232-8052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN183829163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty