Provider Demographics
NPI:1669815684
Name:KOCHNER, REBECCA A (ARNP)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:A
Last Name:KOCHNER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 NE PACIFIC ST
Mailing Address - Street 2:BOX 356310
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-6310
Mailing Address - Country:US
Mailing Address - Phone:206-543-3093
Mailing Address - Fax:206-616-4960
Practice Address - Street 1:1959 NE PACIFIC ST
Practice Address - Street 2:BOX 356310
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-6310
Practice Address - Country:US
Practice Address - Phone:206-543-3093
Practice Address - Fax:206-616-4960
Is Sole Proprietor?:No
Enumeration Date:2013-04-09
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60350415363L00000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner