Healthcare Provider Details

I. General information

NPI: 1912828526
Provider Name (Legal Business Name): DEVAN MARIE HOEKMAN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEVAN MARIE OTTO

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 1ST ST NE STE 1
WESSINGTON SPRINGS SD
57382-2163
US

IV. Provider business mailing address

18730 382ND AVE
TULARE SD
57476-7018
US

V. Phone/Fax

Practice location:
  • Phone: 605-539-1778
  • Fax:
Mailing address:
  • Phone: 605-450-1766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF06260598
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: