Healthcare Provider Details

I. General information

NPI: 1144467887
Provider Name (Legal Business Name): PATRICIA GAIL HOHMAN ARNP CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2009
Last Update Date: 01/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 MAINE ST
LAWRENCE KS
66044-1360
US

IV. Provider business mailing address

325 MAINE ST
LAWRENCE KS
66044-1360
US

V. Phone/Fax

Practice location:
  • Phone: 785-505-5000
  • Fax: 785-505-2581
Mailing address:
  • Phone: 785-505-5000
  • Fax: 785-505-2581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number13-59019-081
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number0951-0218
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number74427
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: