Provider Demographics
NPI:1518285378
Name:HOSEI, BARBARA GALE (CNM)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:GALE
Last Name:HOSEI
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:GALE
Other - Last Name:WASIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:PO BOX 1201
Mailing Address - Street 2:
Mailing Address - City:PINE RIDGE
Mailing Address - State:SD
Mailing Address - Zip Code:57770-1201
Mailing Address - Country:US
Mailing Address - Phone:605-867-3003
Mailing Address - Fax:605-867-3305
Practice Address - Street 1:1201 EAST HIGHWAY 18
Practice Address - Street 2:
Practice Address - City:PINE RIDGE
Practice Address - State:SD
Practice Address - Zip Code:57770
Practice Address - Country:US
Practice Address - Phone:605-867-3003
Practice Address - Fax:605-867-3305
Is Sole Proprietor?:No
Enumeration Date:2010-05-04
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN09000188A367A00000X
GARN205789367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife