Healthcare Provider Details

I. General information

NPI: 1508883588
Provider Name (Legal Business Name): DONNA HUMESTON HOSKINS CNS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 UPPER MAIN ST
SHARON CT
06069-2083
US

IV. Provider business mailing address

32 WHITE HOLLOW RD
SHARON CT
06069-2118
US

V. Phone/Fax

Practice location:
  • Phone: 860-364-5765
  • Fax: 860-364-5765
Mailing address:
  • Phone: 860-364-5765
  • Fax: 860-364-5765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number002115
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: