Provider Demographics
NPI:1710402987
Name:HOBIN, SUSAN KAREN (APRN CNP)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:KAREN
Last Name:HOBIN
Suffix:
Gender:F
Credentials:APRN CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1220 PONTIAC AVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-4456
Mailing Address - Country:US
Mailing Address - Phone:401-943-4660
Mailing Address - Fax:401-490-2021
Practice Address - Street 1:1220 PONTIAC AVE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-4456
Practice Address - Country:US
Practice Address - Phone:401-943-4660
Practice Address - Fax:401-490-2021
Is Sole Proprietor?:No
Enumeration Date:2017-08-09
Last Update Date:2019-11-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIAPRN01638363LA2100X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care