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NPI Code Detail

MEDICARE: MRS. ROBERTA E. HOEBEKE FNP-BC

MEDICARE: MRS. ROBERTA E. HOEBEKE FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner71001588AIN

General Provider Information

NPI Number : 1023235090
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROBERTA E. HOEBEKE FNP-BC
Provider Business Mailing Address
First Line : 1401 PROFESSIONAL BLVD
Second Line : SUITE 100
City : EVANSVILLE
State : IN
Zip : 47714-8014
Country : US
Telephone Number : 812-471-4110
Fax Number : 812-471-4275
Provider Business Practice Location Address
First Line : 1401 PROFESSIONAL BLVD
Second Line : SUITE 100
City : EVANSVILLE
State : IN
Zip : 47714-8014
Country : US
Telephone Number : 812-471-4110
Fax Number : 812-471-4275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 09/23/2011

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