Provider Demographics
NPI:1750588711
Name:HOBBY, FAITH
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:
Last Name:HOBBY
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 1:640 E HORIZON DR APT 1314
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-8471
Mailing Address - Country:US
Mailing Address - Phone:661-317-4821
Mailing Address - Fax:
Practice Address - Street 1:640 E HORIZON DR APT 1314
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-8471
Practice Address - Country:US
Practice Address - Phone:661-317-4821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2023-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program