Provider Demographics
NPI:1689763054
Name:HOSCH, MARY JANE (RNFA)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:JANE
Last Name:HOSCH
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7038 WILLA LN
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-5255
Mailing Address - Country:US
Mailing Address - Phone:303-670-1938
Mailing Address - Fax:
Practice Address - Street 1:7038 WILLA LN
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-5255
Practice Address - Country:US
Practice Address - Phone:303-670-1938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO92304163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant