Basic Information
Provider Information
NPI: 1245307750
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOHMEISTER
FirstName: JULIE
MiddleName: RAE
NamePrefix: MRS.
NameSuffix:  
Credential: A.P.R.N.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8 CLOVER LN
Address2:  
City: WHITEFIELD
State: NH
PostalCode: 035983343
CountryCode: US
TelephoneNumber: 6038379005
FaxNumber:  
Practice Location
Address1: 8 CLOVER LN
Address2:  
City: WHITEFIELD
State: NH
PostalCode: 035983343
CountryCode: US
TelephoneNumber: 6038379005
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/29/2006
LastUpdateDate: 10/24/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/24/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LW0102X02360023NHN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
363LW0102X0236002304NHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

ID Information
IDTypeStateIssuerDescription
309432305NH MEDICAID


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