Individual
ELLEN RAE COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
28 NW 4TH ST STE A, GRAND RAPIDS, MN 55744-2714
(218) 999-7750
Mailing address
19569 PINE LANDING DR, GRAND RAPIDS, MN 55744-5146
(218) 360-9466
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12029
MN
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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