Provider Demographics
NPI:1053346361
Name:COCKEY, MARGO C (MSN ANRP)
Entity type:Individual
Prefix:
First Name:MARGO
Middle Name:C
Last Name:COCKEY
Suffix:
Gender:F
Credentials:MSN ANRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 E 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1455
Mailing Address - Country:US
Mailing Address - Phone:509-455-5555
Mailing Address - Fax:509-455-4112
Practice Address - Street 1:323 E 2ND AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1455
Practice Address - Country:US
Practice Address - Phone:509-455-5555
Practice Address - Fax:509-455-4112
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30004655363LA2200X
WARN00130085363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health