Provider Demographics
NPI:1801514385
Name:OCKEN, ADELENE ALEXANDRIA (LPN)
Entity type:Individual
Prefix:
First Name:ADELENE
Middle Name:ALEXANDRIA
Last Name:OCKEN
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 1:3 DOCTORS PARK STE 3G
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4531
Mailing Address - Country:US
Mailing Address - Phone:828-251-1478
Mailing Address - Fax:
Practice Address - Street 1:3 DOCTORS PARK STE 3G
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4531
Practice Address - Country:US
Practice Address - Phone:828-251-1478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-19
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPN.336519164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse