Individual
BETH HOCKENBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
283 S BUTLER RD, LEBANON, PA 17042-8939
(717) 270-2436
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP024536
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15574526
CAQH
—
01
—
SP024536
STATE LICENSE
PA
Enumeration date
05/05/2022
Last updated
04/07/2025
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