Look up the most recent NPI and PECOS records

Candace Cochran

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4124 Fulton Dr NW, Ste 101, Canton, OH 44718-2852

PECOS Enrollment

Based on the most recent information from CMS, provider Candace Cochran is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1508268772
Provider Type
Individual
Full Name
Cochran, Candace
Credential
FNP-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/19/2014
Last Updated
9/19/2014

Contact Information

Practice Location

4124 Fulton Dr NW, Ste 101, Canton, OH 44718-2852

(330) 433-9260

Unlisted Fax

Mailing Location

4124 Fulton Dr NW, Ste 101, Canton, OH 44718-2852

(330) 433-9260

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License COA 16582NP Ohio

Candace Cochran

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Karg, Lora Lou

Gordon, Marian Kathleen

Puckett, Mallory

Mcavinew, Benjamin

Baldwin, Carmen

Ham, Sirilak

Holcomb, Taylor Nicole

Gnes, Dawn C

Mcclain, Brittany

Simmons, Wanda