Provider Demographics
NPI:1790050755
Name:HOBEN, BETH (RN)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:
Last Name:HOBEN
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 1:2333 MANITOU RD
Mailing Address - Street 2:
Mailing Address - City:SPENCERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14559-2092
Mailing Address - Country:US
Mailing Address - Phone:585-349-5550
Mailing Address - Fax:
Practice Address - Street 1:2333 MANITOU RD
Practice Address - Street 2:
Practice Address - City:SPENCERPORT
Practice Address - State:NY
Practice Address - Zip Code:14559-2092
Practice Address - Country:US
Practice Address - Phone:585-349-5550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-09
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY566001163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool