Provider Demographics
NPI:1184384703
Name:HIESTER, HOPE EMILY (CTI SPECIALIST)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:EMILY
Last Name:HIESTER
Suffix:
Gender:F
Credentials:CTI SPECIALIST
Other - Prefix:
Other - First Name:ESPOIR
Other - Middle Name:
Other - Last Name:HIESTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 12455
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87195-0455
Mailing Address - Country:US
Mailing Address - Phone:505-312-7296
Mailing Address - Fax:505-554-1620
Practice Address - Street 1:2040 4TH ST NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-1430
Practice Address - Country:US
Practice Address - Phone:505-596-0118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-22
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator