Basic Information
Provider Information
NPI: 1467020081
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOYORD
FirstName: KRISTEN
MiddleName: JEAN
NamePrefix: DR.
NameSuffix:  
Credential: DNP, APRN, FNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 325 KING OLAV LN
Address2:  
City: IOLA
State: WI
PostalCode: 549459661
CountryCode: US
TelephoneNumber: 7152817192
FaxNumber:  
Practice Location
Address1: 5409 VERN HOLMES DR
Address2:  
City: STEVENS POINT
State: WI
PostalCode: 544828853
CountryCode: US
TelephoneNumber: 7153441600
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/11/2021
LastUpdateDate: 06/11/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/11/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X11001-33WIN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363LF0000X11001-33WIN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LP2300X11001-33WIY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care

No ID Information.


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