Basic Information
Provider Information
NPI: 1306487830
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOEHN
FirstName: KRISTIN
MiddleName: R
NamePrefix:  
NameSuffix:  
Credential: CNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1001 BELLEFONTAINE AVE
Address2:  
City: LIMA
State: OH
PostalCode: 458042800
CountryCode: US
TelephoneNumber: 4199984575
FaxNumber: 4199984586
Practice Location
Address1: 1003 BELLEFONTAINE AVE STE 150
Address2:  
City: LIMA
State: OH
PostalCode: 458041871
CountryCode: US
TelephoneNumber: 4199988295
FaxNumber: 4192268323
Other Information
ProviderEnumerationDate: 10/07/2019
LastUpdateDate: 09/17/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/17/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WC0200XRN.359418OHN Nursing Service ProvidersRegistered NurseCritical Care Medicine
363LA2100XAPRN.CNP.026221OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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