Healthcare Provider Details

I. General information

NPI: 1275369662
Provider Name (Legal Business Name): HEATHER JOANNE HOYT APRN, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2024
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 S MAIN ST
PRATT KS
67124-2627
US

IV. Provider business mailing address

504 S MAIN ST
PRATT KS
67124-2627
US

V. Phone/Fax

Practice location:
  • Phone: 620-259-9003
  • Fax:
Mailing address:
  • Phone: 620-259-9003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number53-83677-031
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: