Provider Demographics
NPI:1073181095
Name:HOCHLEUTNER, ERIN CLAIRE
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:CLAIRE
Last Name:HOCHLEUTNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 WALDEN LN
Mailing Address - Street 2:
Mailing Address - City:FORT THOMAS
Mailing Address - State:KY
Mailing Address - Zip Code:41075-1045
Mailing Address - Country:US
Mailing Address - Phone:859-640-2871
Mailing Address - Fax:
Practice Address - Street 1:60 WALDEN LN
Practice Address - Street 2:
Practice Address - City:FORT THOMAS
Practice Address - State:KY
Practice Address - Zip Code:41075-1045
Practice Address - Country:US
Practice Address - Phone:859-640-2871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant