1578896692 NPI number — MS. RHONDA D'ANN HOSKINS MSN APN, FNP

Table of content: MS. RHONDA D'ANN HOSKINS MSN APN, FNP (NPI 1578896692)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578896692 NPI number — MS. RHONDA D'ANN HOSKINS MSN APN, FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOSKINS
Provider First Name:
RHONDA
Provider Middle Name:
D'ANN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSN APN, FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BASTARDO
Provider Other First Name:
RHONDA
Provider Other Middle Name:
D'ANN
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSN, FNP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1578896692
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3201 E CENTER STREET EXT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WARSAW
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46582-3907
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
574-267-1700
Provider Business Mailing Address Fax Number:
574-267-0017

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3201 E CENTER STREET EXT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WARSAW
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46582-3907
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
574-267-1700
Provider Business Practice Location Address Fax Number:
574-267-0017
Provider Enumeration Date:
09/08/2009

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: 363L00000X , with the licence number:  28117126A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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