Provider Demographics
NPI:1043248826
Name:HOEME, ANITA G (ARNP BC)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:G
Last Name:HOEME
Suffix:
Gender:F
Credentials:ARNP BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1133
Mailing Address - Street 2:911 N MAIN STREET
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-1133
Mailing Address - Country:US
Mailing Address - Phone:620-276-8201
Mailing Address - Fax:620-275-0712
Practice Address - Street 1:911 N MAIN STREET
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-0500
Practice Address - Country:US
Practice Address - Phone:620-276-8201
Practice Address - Fax:620-275-0712
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS74242363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily