Provider Demographics
NPI:1194407957
Name:HOSEY, NANCY
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:HOSEY
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 1:166 FORK DR NE
Mailing Address - Street 2:
Mailing Address - City:FLOYD
Mailing Address - State:VA
Mailing Address - Zip Code:24091-2467
Mailing Address - Country:US
Mailing Address - Phone:843-597-1201
Mailing Address - Fax:
Practice Address - Street 1:166 FORK DR NE
Practice Address - Street 2:
Practice Address - City:FLOYD
Practice Address - State:VA
Practice Address - Zip Code:24091-2467
Practice Address - Country:US
Practice Address - Phone:843-597-1201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker