Basic Information
Provider Information
NPI: 1508498551
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOSKINS
FirstName: HILLARY
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1735 WEYMOUTH DR SE
Address2:  
City: GRAND RAPIDS
State: MI
PostalCode: 495083711
CountryCode: US
TelephoneNumber: 5868835058
FaxNumber:  
Practice Location
Address1: 601 JOHN ST STE N-1200A
Address2:  
City: KALAMAZOO
State: MI
PostalCode: 490075341
CountryCode: US
TelephoneNumber: 2693417979
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/07/2020
LastUpdateDate: 10/12/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/12/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000X4704313778MIY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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