Provider Demographics
NPI:1053815423
Name:HOAG, YOLANDA L (ACNPC-AG)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:L
Last Name:HOAG
Suffix:
Gender:F
Credentials:ACNPC-AG
Other - Prefix:
Other - First Name:YOLANDA
Other - Middle Name:L
Other - Last Name:HOAG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2001 STATE ST
Mailing Address - Street 2:
Mailing Address - City:EAST SAINT LOUIS
Mailing Address - State:IL
Mailing Address - Zip Code:62205-1803
Mailing Address - Country:US
Mailing Address - Phone:618-271-9191
Mailing Address - Fax:618-271-9617
Practice Address - Street 1:2001 STATE ST
Practice Address - Street 2:
Practice Address - City:EAST SAINT LOUIS
Practice Address - State:IL
Practice Address - Zip Code:62205-1803
Practice Address - Country:US
Practice Address - Phone:618-271-9191
Practice Address - Fax:618-271-9617
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209024581363L00000X, 363LA2100X
VA0024175810363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner