Provider Demographics
NPI:1760267421
Name:COCHRANE, JULIE
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:COCHRANE
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 1:3908 KENWICK DR
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45429-1538
Mailing Address - Country:US
Mailing Address - Phone:614-558-5145
Mailing Address - Fax:
Practice Address - Street 1:3908 KENWICK DR
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-1538
Practice Address - Country:US
Practice Address - Phone:614-558-5145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker