Healthcare Provider Details

I. General information

NPI: 1396401576
Provider Name (Legal Business Name): LAUREN ASHLEY HOBBS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2021
Last Update Date: 11/29/2021
Certification Date: 11/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WOODS RD
VALHALLA NY
10595-1530
US

IV. Provider business mailing address

223 WATERSIDE CLOSE
PEEKSKILL NY
10566-4456
US

V. Phone/Fax

Practice location:
  • Phone: 914-493-7000
  • Fax:
Mailing address:
  • Phone: 914-629-2716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF347452-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: