Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | SP015298 | PA |
Y | 363LW0102X | Nurse Practitioner - Women's Health | SP015298 | PA |
NPI | 1093180010 |
---|---|
Provider Name | Ms. Yovanka Hoover |
First Address | Harrisburg, PA 17104-1612 |
Second Address | Harrisburg, PA 17110-2034 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2015 |
Last Update Date | 09/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103072982 | (05) | PA |