Provider Demographics
NPI:1760133367
Name:SCHOCKLING, MARY E (LPN)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:E
Last Name:SCHOCKLING
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19520 ONE NORMAN BLVD APT J
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-4812
Mailing Address - Country:US
Mailing Address - Phone:407-968-5635
Mailing Address - Fax:
Practice Address - Street 1:19520 ONE NORMAN BLVD, APT J
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031
Practice Address - Country:US
Practice Address - Phone:407-968-5635
Practice Address - Fax:980-231-1988
Is Sole Proprietor?:No
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC92583164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse