Basic Information
Provider Information
NPI: 1841618279
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOKE
FirstName: TIFFANY
MiddleName: MICHELLE
NamePrefix: MRS.
NameSuffix:  
Credential: DNPC, MSN, AGACNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 824 KINAU ST
Address2: APT 1209
City: HONOLULU
State: HI
PostalCode: 968132539
CountryCode: US
TelephoneNumber: 7312172775
FaxNumber:  
Practice Location
Address1: 350 N WILMOT RD
Address2:  
City: TUCSON
State: AZ
PostalCode: 857112602
CountryCode: US
TelephoneNumber: 5208733000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/02/2014
LastUpdateDate: 03/04/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN159780AZN Nursing Service ProvidersRegistered Nurse 
363LA2100XAP5432AZY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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