Healthcare Provider Details

I. General information

NPI: 1346992203
Provider Name (Legal Business Name): KRISTEN HOSKINS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2022
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 26TH ST
PRAIRIE DU SAC WI
53578-2204
US

IV. Provider business mailing address

PO BOX 70
PRAIRIE DU SAC WI
53578-0070
US

V. Phone/Fax

Practice location:
  • Phone: 608-643-3311
  • Fax: 608-643-7147
Mailing address:
  • Phone: 608-643-3311
  • Fax: 608-643-7147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1035771
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number15191-33
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number115642
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: