Provider Demographics
NPI:1568604296
Name:HOSKINS, GLENNA LYNN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:GLENNA
Middle Name:LYNN
Last Name:HOSKINS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 50 BOX 373
Mailing Address - Street 2:
Mailing Address - City:ARNOLDSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25234-9622
Mailing Address - Country:US
Mailing Address - Phone:304-655-7621
Mailing Address - Fax:
Practice Address - Street 1:HC 50 BOX 373
Practice Address - Street 2:
Practice Address - City:ARNOLDSBURG
Practice Address - State:WV
Practice Address - Zip Code:25234-9622
Practice Address - Country:US
Practice Address - Phone:304-655-7621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-26
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV29723164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty