1205007259 NPI number — MRS. ANN ELIZABETH HODGIN CRNP

Table of content: MRS. ANN ELIZABETH HODGIN CRNP (NPI 1205007259)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205007259 NPI number — MRS. ANN ELIZABETH HODGIN CRNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HODGIN
Provider First Name:
ANN
Provider Middle Name:
ELIZABETH
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
CRNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205007259
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/20/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
580 S AIKEN AVE
Provider Second Line Business Mailing Address:
SUITE 500
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15232-1531
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-688-3653
Provider Business Mailing Address Fax Number:
412-687-4054

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
580 S AIKEN AVE
Provider Second Line Business Practice Location Address:
SUITE 500
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15232-1531
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-688-3653
Provider Business Practice Location Address Fax Number:
412-687-4054
Provider Enumeration Date:
03/18/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  SP009763 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com