Individual
MS. HOLLY DEMAREST KOCKLER
Active
Individual
MS. HOLLY DEMAREST KOCKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
082463
NC
363LF0000X
Family Nurse Practitioner
Primary
200736
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082463
RN LICENSE NUMBER
NC
01
—
200736
NCBOM NP PRACTICE NUMBER
NC
05
—
ZF0000131
—
NC
Enumeration date
09/29/2006
Last updated
04/22/2016
Update your record
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