Provider Demographics
NPI:1093043283
Name:HOBER, NADINE MARIE (CNP)
Entity Type:Individual
Prefix:MS
First Name:NADINE
Middle Name:MARIE
Last Name:HOBER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 LLANO DEL NORTE
Mailing Address - Street 2:
Mailing Address - City:PLACITAS
Mailing Address - State:NM
Mailing Address - Zip Code:87043-8306
Mailing Address - Country:US
Mailing Address - Phone:505-999-9033
Mailing Address - Fax:
Practice Address - Street 1:25 LLANO DEL NORTE
Practice Address - Street 2:
Practice Address - City:PLACITAS
Practice Address - State:NM
Practice Address - Zip Code:87043-8306
Practice Address - Country:US
Practice Address - Phone:505-999-9033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-26
Last Update Date:2009-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR41097363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics