Healthcare Provider Details

I. General information

NPI: 1235222654
Provider Name (Legal Business Name): CONSTANCE M HOSKINS APRN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 EAGLE ST
ANCHORAGE AK
99501-2626
US

IV. Provider business mailing address

4201 TUDOR CENTRE DR SUITE #320
ANCHORAGE AK
99508-5904
US

V. Phone/Fax

Practice location:
  • Phone: 907-729-8624
  • Fax:
Mailing address:
  • Phone: 907-729-8624
  • Fax: 907-729-8607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNUR-APRN-LIC-105019
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1133
License Number StateAK
# 3
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License NumberAP30001464
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: