Provider Demographics
NPI:1831528611
Name:COCKERLINE, RACHEL (RN)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:COCKERLINE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 GERRISH AVE
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-4534
Mailing Address - Country:US
Mailing Address - Phone:617-320-2803
Mailing Address - Fax:978-455-8925
Practice Address - Street 1:181 GERRISH AVE
Practice Address - Street 2:
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-4534
Practice Address - Country:US
Practice Address - Phone:617-320-2803
Practice Address - Fax:978-455-8925
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA253769163W00000X
CT106260163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse