Provider Demographics
NPI:1245659218
Name:HOSKINS, BRANDI LAINE (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:BRANDI
Middle Name:LAINE
Last Name:HOSKINS
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 SOUTHERN HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-3765
Mailing Address - Country:US
Mailing Address - Phone:513-545-3606
Mailing Address - Fax:
Practice Address - Street 1:1075 SOUTHERN HILLS BLVD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-3765
Practice Address - Country:US
Practice Address - Phone:513-545-3606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-07
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 337074163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse