Provider Demographics
NPI:1821678863
Name:HOAK, THOMASINE A (RN)
Entity Type:Individual
Prefix:
First Name:THOMASINE
Middle Name:A
Last Name:HOAK
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 1:100 ABEL ROAD
Mailing Address - Street 2:
Mailing Address - City:EAST PROSPECT
Mailing Address - State:PA
Mailing Address - Zip Code:17317
Mailing Address - Country:US
Mailing Address - Phone:717-252-3674
Mailing Address - Fax:
Practice Address - Street 1:5100 PICKING ROAD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17406-1740
Practice Address - Country:US
Practice Address - Phone:717-873-5269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN516487L163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool