Provider Demographics
NPI:1649415993
Name:HOESE, DIANE K (CNS)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:K
Last Name:HOESE
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1805 FORD AVE N
Mailing Address - Street 2:MCLEOD CTY PUBLIC HEALTH, SUITE 200
Mailing Address - City:GLENCOE
Mailing Address - State:MN
Mailing Address - Zip Code:55336-1363
Mailing Address - Country:US
Mailing Address - Phone:320-864-3185
Mailing Address - Fax:320-864-1484
Practice Address - Street 1:1805 FORD AVE N
Practice Address - Street 2:MCLEOD CTY PUBLIC HEALTH, SUITE 200
Practice Address - City:GLENCOE
Practice Address - State:MN
Practice Address - Zip Code:55336-1363
Practice Address - Country:US
Practice Address - Phone:320-864-3185
Practice Address - Fax:320-864-1484
Is Sole Proprietor?:No
Enumeration Date:2008-12-15
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR0785150364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health