Provider Demographics
NPI:1780442319
Name:HOPE FLOATS
Entity type:Organization
Organization Name:HOPE FLOATS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBRA
Authorized Official - Middle Name:A
Authorized Official - Last Name:NEVALA
Authorized Official - Suffix:
Authorized Official - Credentials:APNP, PMHNP, FNP-BC
Authorized Official - Phone:715-292-3462
Mailing Address - Street 1:1601 9TH AVE W
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:WI
Mailing Address - Zip Code:54806-3741
Mailing Address - Country:US
Mailing Address - Phone:715-292-3462
Mailing Address - Fax:715-251-6053
Practice Address - Street 1:21 W OMAHA ST
Practice Address - Street 2:
Practice Address - City:WASHBURN
Practice Address - State:WI
Practice Address - Zip Code:54891-4557
Practice Address - Country:US
Practice Address - Phone:715-710-1610
Practice Address - Fax:715-251-6053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty