Provider Demographics
NPI:1225028608
Name:HOAGLAND, YVETTE ESTELLE (PMHNP-BC, PMHCNS-BC)
Entity Type:Individual
Prefix:MRS
First Name:YVETTE
Middle Name:ESTELLE
Last Name:HOAGLAND
Suffix:
Gender:F
Credentials:PMHNP-BC, PMHCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2775 FISCHER RD
Mailing Address - Street 2:
Mailing Address - City:HATFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19440-3802
Mailing Address - Country:US
Mailing Address - Phone:267-222-8510
Mailing Address - Fax:
Practice Address - Street 1:807 LAWN AVE
Practice Address - Street 2:
Practice Address - City:SELLERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18960-1549
Practice Address - Country:US
Practice Address - Phone:215-257-6551
Practice Address - Fax:215-257-9347
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACNS000010364SP0809X
PASP012118363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA903566Medicare PIN
S39001Medicare UPIN