Healthcare Provider Details

I. General information

NPI: 1992213821
Provider Name (Legal Business Name): SARA MICHELLE HOKE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2018
Last Update Date: 12/12/2024
Certification Date: 12/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WYOMING ST
DAYTON OH
45409
US

IV. Provider business mailing address

1344 ESSEX CT
TROY OH
45373-8244
US

V. Phone/Fax

Practice location:
  • Phone: 937-208-2912
  • Fax:
Mailing address:
  • Phone: 937-545-4080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number023100
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: