Provider Demographics
NPI:1245307750
Name:HOHMEISTER, JULIE RAE (APRN)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:RAE
Last Name:HOHMEISTER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CLOVER LN
Mailing Address - Street 2:
Mailing Address - City:WHITEFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03598-3343
Mailing Address - Country:US
Mailing Address - Phone:603-837-9005
Mailing Address - Fax:
Practice Address - Street 1:8 CLOVER LN
Practice Address - Street 2:
Practice Address - City:WHITEFIELD
Practice Address - State:NH
Practice Address - Zip Code:03598-3343
Practice Address - Country:US
Practice Address - Phone:603-837-9005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2020-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH02360023363LW0102X
NH0236002304363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3094323Medicaid