Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | 28160281A | IN |
Y | 363LA2200X | Nurse Practitioner - Adult Health | 71003968A | IN |
NPI | 1013276997 |
---|---|
Provider Name | Heather Hosfield |
First Address | Indianapolis, IN 46250-0407 |
Second Address | Fishers, IN 46037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2012 |
Last Update Date | 10/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201074870 | (05) | IN |
P01291689 | RAILROAD MEDICARE (01) | IN |