Basic Information
| Provider Information | |||||||||
| NPI: | 1144467887 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOHMAN | ||||||||
| FirstName: | PATRICIA | ||||||||
| MiddleName: | GAIL | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | ARNP CDE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 325 MAINE ST | ||||||||
| Address2: | |||||||||
| City: | LAWRENCE | ||||||||
| State: | KS | ||||||||
| PostalCode: | 660441360 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7855055000 | ||||||||
| FaxNumber: | 7855052581 | ||||||||
| Practice Location | |||||||||
| Address1: | 325 MAINE ST | ||||||||
| Address2: | |||||||||
| City: | LAWRENCE | ||||||||
| State: | KS | ||||||||
| PostalCode: | 660441360 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7855055000 | ||||||||
| FaxNumber: | 7855052581 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/16/2009 | ||||||||
| LastUpdateDate: | 01/16/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 13-59019-081 | KS | N | Nursing Service Providers | Registered Nurse | 163WD0400X | 0951-0218 | KS | Y | Nursing Service Providers | Registered Nurse | Diabetes Educator | 364SA2200X | 74427 | KS | N | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Adult Health |
No ID Information.