Provider Demographics
NPI:1861850612
Name:COCHRAN, WENDY ELLEN ((CD) DONA CERTIFIED)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:ELLEN
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:(CD) DONA CERTIFIED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 TULIP AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94619-2760
Mailing Address - Country:US
Mailing Address - Phone:510-325-6351
Mailing Address - Fax:
Practice Address - Street 1:4500 TULIP AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94619-2760
Practice Address - Country:US
Practice Address - Phone:510-325-6351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-08
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10934374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula