Healthcare Provider Details
I. General information
NPI: 1811081524
Provider Name (Legal Business Name): LISA MARGUERITE HOYT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/03/2006
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
770 10TH STREET
ARCATA CA
95521
US
IV. Provider business mailing address
770 11TH ST
ARCATA CA
95521-5838
US
V. Phone/Fax
- Phone: 707-826-8610
- Fax: 707-826-8623
- Phone: 707-407-8404
- Fax: 707-306-7253
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | NP10169 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: