Provider Demographics
NPI:1942733399
Name:HOVEN, NANCY KAY (LPN)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:KAY
Last Name:HOVEN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 MCCRARY RD
Mailing Address - Street 2:C
Mailing Address - City:SEMMES
Mailing Address - State:AL
Mailing Address - Zip Code:36575-8404
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5000 MCCRARY RD
Practice Address - Street 2:C
Practice Address - City:SEMMES
Practice Address - State:AL
Practice Address - Zip Code:36575-8404
Practice Address - Country:US
Practice Address - Phone:817-471-0337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-04
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2-038668164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse