Provider Demographics
NPI:1194994459
Name:HOPKINS, EUGENIA (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MRS
First Name:EUGENIA
Middle Name:
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 EAST MOUNTAIN BLVD
Mailing Address - Street 2:GEISINGER WYOMING VALLEY CARDIOLOGY DEPARTMENT
Mailing Address - City:WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18711
Mailing Address - Country:US
Mailing Address - Phone:570-808-6020
Mailing Address - Fax:
Practice Address - Street 1:1000 EAST MOUNTAIN BLVD
Practice Address - Street 2:GEISINGER WYOMING VALLEY CARDIOLOGY DEPARTMENT
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18711
Practice Address - Country:US
Practice Address - Phone:570-808-6020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-20
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA054337363AM0700X
CO2539363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical