Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 71002629A | IN |
NPI | 1073975546 |
---|---|
Provider Name | Margaret Cockshott |
First Address | Indianapolis, IN 46202-5173 |
Second Address | Indianapolis, IN 46202-5173 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2016 |
Last Update Date | 24/03/2016 |