Provider Demographics
NPI:1346041076
Name:HOSINO, ELISSIONA LYNN
Entity type:Individual
Prefix:
First Name:ELISSIONA
Middle Name:LYNN
Last Name:HOSINO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 N COLORADO AVE
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-5249
Mailing Address - Country:US
Mailing Address - Phone:402-469-3328
Mailing Address - Fax:
Practice Address - Street 1:412 N COLORADO AVE
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-5249
Practice Address - Country:US
Practice Address - Phone:402-469-3328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty