Provider Demographics
NPI:1023681178
Name:CASE, LAURA COCKERHAM (WHNP-BC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:COCKERHAM
Last Name:CASE
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4810 S CROATAN HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:NAGS HEAD
Mailing Address - State:NC
Mailing Address - Zip Code:27959-8504
Mailing Address - Country:US
Mailing Address - Phone:704-287-2216
Mailing Address - Fax:
Practice Address - Street 1:4810 S CROATAN HWY STE 100
Practice Address - Street 2:
Practice Address - City:NAGS HEAD
Practice Address - State:NC
Practice Address - Zip Code:27959-8504
Practice Address - Country:US
Practice Address - Phone:704-287-2216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1023681178363LW0102X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health