Provider Demographics
NPI:1982868816
Name:HOSKINS, PATRICE (PA-C)
Entity Type:Individual
Prefix:
First Name:PATRICE
Middle Name:
Last Name:HOSKINS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 FRANCIS ST
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6134
Mailing Address - Country:US
Mailing Address - Phone:617-732-6660
Mailing Address - Fax:857-307-2022
Practice Address - Street 1:70 FRANCIS ST
Practice Address - Street 2:5TH FL
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6134
Practice Address - Country:US
Practice Address - Phone:617-732-6660
Practice Address - Fax:857-307-2022
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAAP2540363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant