Provider Demographics
NPI:1578984704
Name:HOXIE, ADELE (LPN)
Entity Type:Individual
Prefix:
First Name:ADELE
Middle Name:
Last Name:HOXIE
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 1:121 WHITESELL ST NE
Mailing Address - Street 2:
Mailing Address - City:ORTING
Mailing Address - State:WA
Mailing Address - Zip Code:98360-8410
Mailing Address - Country:US
Mailing Address - Phone:360-893-3565
Mailing Address - Fax:360-893-2919
Practice Address - Street 1:121 WHITESELL ST NE
Practice Address - Street 2:
Practice Address - City:ORTING
Practice Address - State:WA
Practice Address - Zip Code:98360-8410
Practice Address - Country:US
Practice Address - Phone:360-893-3565
Practice Address - Fax:360-893-2919
Is Sole Proprietor?:No
Enumeration Date:2013-12-13
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALP00054521164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse