Healthcare Provider Details

I. General information

NPI: 1134587231
Provider Name (Legal Business Name): AUDRA HOHEISEL FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2016
Last Update Date: 08/02/2023
Certification Date: 02/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 N WALDRON ST
HUTCHINSON KS
67502-1197
US

IV. Provider business mailing address

2101 N WALDRON ST
HUTCHINSON KS
67502-1197
US

V. Phone/Fax

Practice location:
  • Phone: 817-598-5620
  • Fax: 817-598-5621
Mailing address:
  • Phone: 620-669-2500
  • Fax: 620-694-2049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-82247
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: