Provider Demographics
NPI:1811023039
Name:BOCK CRNP SERVICES, P.C.
Entity Type:Organization
Organization Name:BOCK CRNP SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:W
Authorized Official - Last Name:BOCK
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:717-443-9970
Mailing Address - Street 1:20 DANNAH DR
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-7924
Mailing Address - Country:US
Mailing Address - Phone:717-443-9970
Mailing Address - Fax:
Practice Address - Street 1:1422 TRINDLE RD
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-9741
Practice Address - Country:US
Practice Address - Phone:717-249-7255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP-003409-B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty