Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 99243 | CO |
NPI | 1033309927 |
---|---|
Provider Name | Teresa A. Hoskins |
First Address | Canon City, CO 81212-9380 |
Second Address | Canon City, CO 81212-9380 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2007 |
Last Update Date | 14/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P62274 | (02) | CO |