Individual
MELINDA ANNE COCKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-BC
Contact information
Practice address
936 QUAIL DR, BRADLEY, IL 60915-1338
(708) 908-0189
Mailing address
936 QUAIL DR, BRADLEY, IL 60915-1338
(708) 908-0189
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041353584
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71017048A
IN
Other
Enumeration date
06/20/2024
Last updated
12/30/2025
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