Provider Demographics
NPI:1750678918
Name:HOOVEN, EVA JEAN (RN)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:JEAN
Last Name:HOOVEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2694 S COUNTY ROAD 260
Mailing Address - Street 2:
Mailing Address - City:CLYDE
Mailing Address - State:OH
Mailing Address - Zip Code:43410-9501
Mailing Address - Country:US
Mailing Address - Phone:419-547-6407
Mailing Address - Fax:
Practice Address - Street 1:2694 S COUNTY ROAD 260
Practice Address - Street 2:
Practice Address - City:CLYDE
Practice Address - State:OH
Practice Address - Zip Code:43410-9501
Practice Address - Country:US
Practice Address - Phone:419-547-6507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN263424163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse