Angela E Cochran, RN | |
6635 Lake Dr, Morrow, GA 30260-2354 | |
(770) 968-1323 | |
(770) 968-4556 |
Full Name | Angela E Cochran |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 6635 Lake Dr, Morrow, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255776902 | NPI | - | NPPES |
003148111A | Medicaid | GA | |
003148111B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN119943 (Georgia) | Secondary |
363L00000X | Nurse Practitioner | RN119943NP (Georgia) | Primary |
Entity Name | Truffles Vein Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760733448 PECOS PAC ID: 1355594797 Enrollment ID: O20130114000391 |
Mailing Address | Practice Location Address |
---|---|
Angela E Cochran, RN 6635 Lake Dr, Morrow, GA 30260-2354 Ph: (770) 968-1323 | Angela E Cochran, RN 6635 Lake Dr, Morrow, GA 30260-2354 Ph: (770) 968-1323 |
Yanique Latoya Lewis, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1467 John Robert Dr Ste B, Morrow, GA 30260 Phone: 770-293-8050 | |
Yvette Monique Ash, F.N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6053 Jonesboro Rd, Morrow, GA 30260 Phone: 707-824-4343 | |
Emmanuela C Conseillant, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1115 Mount Zion Rd Ste J, Morrow, GA 30260 Phone: 404-883-9140 | |
Mr. Patrick Washington, N.P.-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5809 N Lake Dr # 1000, Morrow, GA 30260 Phone: 678-466-5591 Fax: 678-466-4944 | |
Ashley Elaine Martin, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6635 Lake Dr, Morrow, GA 30260 Phone: 770-968-1323 Fax: 770-968-4556 | |
Susan Sanner, APRN-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2777 Priscilla Way, Morrow, GA 30260 Phone: 770-961-4866 Fax: 770-961-4866 | |
Ms. Naiomi Michelle Shockley, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1115 Mount Zion Rd Ste E, Morrow, GA 30260 Phone: 770-960-9999 Fax: 770-960-0931 |