Provider Demographics
NPI:1003156753
Name:HOIDA, AMY BETH (RN)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:BETH
Last Name:HOIDA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:832 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:MARINETTE
Mailing Address - State:WI
Mailing Address - Zip Code:54143-1632
Mailing Address - Country:US
Mailing Address - Phone:715-938-1866
Mailing Address - Fax:
Practice Address - Street 1:716 CARNEY BLVD
Practice Address - Street 2:
Practice Address - City:MARINETTE
Practice Address - State:WI
Practice Address - Zip Code:54143-2622
Practice Address - Country:US
Practice Address - Phone:715-923-7383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-17
Last Update Date:2013-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI185105-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse