Healthcare Provider Details

I. General information

NPI: 1992007322
Provider Name (Legal Business Name): PAMELA ANN HOISINGTON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2010
Last Update Date: 11/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 NORTH HUDSON
OKLAHOMA CITY OK
73104
US

IV. Provider business mailing address

1140 N HUDSON AVE
OKLAHOMA CITY OK
73103-3918
US

V. Phone/Fax

Practice location:
  • Phone: 405-810-9578
  • Fax: 405-810-9597
Mailing address:
  • Phone: 405-810-9578
  • Fax: 405-810-9597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR56897
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: