Healthcare Provider Details

I. General information

NPI: 1144769936
Provider Name (Legal Business Name): RHONDA HOCH NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2017
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3512 STELLHORN RD
FORT WAYNE IN
46815-4631
US

IV. Provider business mailing address

3512 STELLHORN RD
FORT WAYNE IN
46815-4631
US

V. Phone/Fax

Practice location:
  • Phone: 260-483-9081
  • Fax:
Mailing address:
  • Phone: 260-483-9081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number71014462A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: