Provider Demographics
NPI:1508883588
Name:HOSKINS, DONNA HUMESTON (CNS APRN)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:HUMESTON
Last Name:HOSKINS
Suffix:
Gender:F
Credentials:CNS APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 WHITE HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:CT
Mailing Address - Zip Code:06069-2118
Mailing Address - Country:US
Mailing Address - Phone:860-364-5765
Mailing Address - Fax:860-364-5765
Practice Address - Street 1:22 UPPER MAIN ST
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:CT
Practice Address - Zip Code:06069-2083
Practice Address - Country:US
Practice Address - Phone:860-364-5765
Practice Address - Fax:860-364-5765
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002115364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
P12595Medicare UPIN