Provider Demographics
NPI:1417273285
Name:HOSKINS, TRINA MARIE (RN ACNP-BC)
Entity Type:Individual
Prefix:
First Name:TRINA
Middle Name:MARIE
Last Name:HOSKINS
Suffix:
Gender:F
Credentials:RN ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 SOUTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45429-1221
Mailing Address - Country:US
Mailing Address - Phone:937-395-6023
Mailing Address - Fax:937-395-8358
Practice Address - Street 1:3535 SOUTHERN BLVD
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-1221
Practice Address - Country:US
Practice Address - Phone:937-395-6023
Practice Address - Fax:937-395-8358
Is Sole Proprietor?:No
Enumeration Date:2010-04-19
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.204668363LA2100X
IN71003948A363LA2100X
OHAPRN.CNP.11411364SA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3054279Medicaid
OHNP35201Medicare PIN
OH3054279Medicaid
P00823365Medicare PIN