Provider Demographics
NPI:1578107272
Name:OCHOCKI, DENISE MONICA
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:MONICA
Last Name:OCHOCKI
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 1:2459 MAMIE AVE E
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55119-5906
Mailing Address - Country:US
Mailing Address - Phone:763-744-8721
Mailing Address - Fax:
Practice Address - Street 1:2459 MAMIE AVE E
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55119-5906
Practice Address - Country:US
Practice Address - Phone:763-744-8721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-05
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2349840163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse