Provider Demographics
NPI:1114372083
Name:HOEFGEN, VIRGINIA K (APRN)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:K
Last Name:HOEFGEN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 OHIO ST
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:KS
Mailing Address - Zip Code:67010-2361
Mailing Address - Country:US
Mailing Address - Phone:316-775-7500
Mailing Address - Fax:316-775-3685
Practice Address - Street 1:2820 OHIO ST
Practice Address - Street 2:NULL
Practice Address - City:AUGUSTA
Practice Address - State:KS
Practice Address - Zip Code:67010-2631
Practice Address - Country:US
Practice Address - Phone:316-775-7500
Practice Address - Fax:316-775-3685
Is Sole Proprietor?:No
Enumeration Date:2016-04-28
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-77296363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily