MEDICARE: MRS. VIRGINIA K HOEFGEN APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	53-77296	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	102644	OTHER	KS	GRP PTAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	102644009	OTHER	KS	IND PTAN
5	1891730339	OTHER	KS	GRP NPI

General Provider Information

NPI Number	:	1114372083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VIRGINIA K HOEFGEN APRN

Provider Business Mailing Address
First Line	:	2820 OHIO ST
Second Line	:
City	:	AUGUSTA
State	:	KS
Zip	:	67010-2361
Country	:	US
Telephone Number	:	316-775-7500
Fax Number	:	316-775-3685

Provider Business Practice Location Address
First Line	:	2820 OHIO ST
Second Line	:
City	:	AUGUSTA
State	:	KS
Zip	:	67010-2361
Country	:	US
Telephone Number	:	316-775-7500
Fax Number	:	316-775-3685

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2016
Last Update Date	:	10/28/2024

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