Healthcare Provider Details

I. General information

NPI: 1841479011
Provider Name (Legal Business Name): MISTY D HOBART ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2007
Last Update Date: 10/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 N DIVISION ST
SPOKANE WA
99202-1899
US

IV. Provider business mailing address

1315 N DIVISION ST
SPOKANE WA
99202-1899
US

V. Phone/Fax

Practice location:
  • Phone: 509-624-0902
  • Fax: 509-459-0881
Mailing address:
  • Phone: 509-624-0902
  • Fax: 509-459-0881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP30007937
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: