Provider Demographics
NPI:1184258899
Name:HOCKENS, ALEXANDRA (CNS)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:HOCKENS
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12711 MEGILLS LANDING LN
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:VA
Mailing Address - Zip Code:20124-1450
Mailing Address - Country:US
Mailing Address - Phone:917-727-0673
Mailing Address - Fax:
Practice Address - Street 1:12711 MEGILLS LANDING LN
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:VA
Practice Address - Zip Code:20124-1450
Practice Address - Country:US
Practice Address - Phone:917-727-0673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-03
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist