Basic Information
Provider Information
NPI: 1417457565
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOISINGTON
FirstName: BRIANNA
MiddleName: DE
NamePrefix:  
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 16352 W 157TH ST
Address2:  
City: OLATHE
State: KS
PostalCode: 660623835
CountryCode: US
TelephoneNumber: 4028901399
FaxNumber:  
Practice Location
Address1: 3801 BLUE PKWY
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641302807
CountryCode: US
TelephoneNumber: 8169235800
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/15/2018
LastUpdateDate: 04/14/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X2011030236MON Nursing Service ProvidersRegistered Nurse 
163W00000X14118145021KSN Nursing Service ProvidersRegistered Nurse 
363LF0000X78106KSN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000X2018012678MOY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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