Provider Demographics
NPI:1437118643
Name:HOSHOR, DAWN E (RN)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:E
Last Name:HOSHOR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:S4108 STATE HIGHWAY 80
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:WI
Mailing Address - Zip Code:54634-8224
Mailing Address - Country:US
Mailing Address - Phone:608-489-2935
Mailing Address - Fax:
Practice Address - Street 1:S4108 STATE HIGHWAY 80
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:WI
Practice Address - Zip Code:54634-8224
Practice Address - Country:US
Practice Address - Phone:608-489-2935
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38333500Medicaid