Provider Demographics
NPI:1205337367
Name:HOHFELD, MELINDA
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:
Last Name:HOHFELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4729 CAPE COD DR
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76310-3024
Mailing Address - Country:US
Mailing Address - Phone:940-224-3739
Mailing Address - Fax:
Practice Address - Street 1:4729 CAPE COD DR
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76310-3024
Practice Address - Country:US
Practice Address - Phone:940-224-3739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-23
Last Update Date:2018-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX305094164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
164X00000X-LVNOtherKINDER HEART HOME HEALTH