Individual
DANA HOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5859 W TALAVI BLVD, STE 100, GLENDALE, AZ 85306-1870
(602) 298-7777
(623) 930-6060
Mailing address
5859 W TALAVI BLVD, STE 100, GLENDALE, AZ 85306-1870
(602) 298-7777
(623) 930-6060
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP287
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP0287
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
647050
—
AZ
01
—
Z209406
MEDICARE PTAN
AZ
01
—
Z212199
MEDICARE PTAN
AZ
Enumeration date
08/02/2005
Last updated
05/22/2020
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