Basic Information
| Provider Information | |||||||||
| NPI: | 1699089714 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOEY | ||||||||
| FirstName: | TORIE | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | MISS | ||||||||
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| Credential: | NP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 115 UNIONVILLE INDIAN TRAIL RD W | ||||||||
| Address2: | STE A-1 | ||||||||
| City: | INDIAN TRAIL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 280795583 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7044442400 | ||||||||
| FaxNumber: | 7043582716 | ||||||||
| Practice Location | |||||||||
| Address1: | 501 BILLINGSLEY RD | ||||||||
| Address2: | SUITE B | ||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282111009 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7044442400 | ||||||||
| FaxNumber: | 7043582716 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/30/2010 | ||||||||
| LastUpdateDate: | 05/05/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 217268 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | NP2049 | 05 | SC | MEDICAID | 6113094 | 05 | NC | MEDICAID | 1699089714 | 05 | NC | MEDICAID |