Individual
HEATHER M. HOCKENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10085 DOUBLE R BLVD, SUITE 120, RENO, NV 89521-5860
(775) 982-4910
(775) 982-8180
Mailing address
780 KUENZLI ST, SUITE 202, RENO, NV 89502-0845
(775) 982-4590
(775) 982-4595
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10214
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016951
—
NV
01
—
11040601
CAQH
—
01
—
80188068
RAILROAD MEDICARE
NV
01
—
P00156976
RR MEDICARE
NV
Enumeration date
02/08/2006
Last updated
11/17/2009
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