Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | SP012602 | PA |
NPI | 1003154782 |
---|---|
Provider Name | Ms. Nicole Elizabeth Hobson |
First Address | Norristown, PA 19403-5421 |
Second Address | Norristown, PA 19403-5421 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2013 |
Last Update Date | 30/09/2013 |