MEDICARE: DR. BRENDA LEE HOSKINS-MEIN ARNP

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
1	363LG0600X	Gerontology Nurse Practitioner	J-087279	IA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	G087279	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336121755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRENDA LEE HOSKINS-MEIN ARNP

Provider Business Mailing Address
First Line	:	PO BOX 672
Second Line	:
City	:	ANKENY
State	:	IA
Zip	:	50021-0672
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 LOCUST ST
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50309-4104
Country	:	US
Telephone Number	:	515-805-0956
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2005
Last Update Date	:	08/13/2024

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