Provider Demographics
NPI:1366719122
Name:HOSHALL, DENISE (CNA, CMA)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:
Last Name:HOSHALL
Suffix:
Gender:F
Credentials:CNA, CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 TRUMBO RD
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-6655
Mailing Address - Country:US
Mailing Address - Phone:305-293-2390
Mailing Address - Fax:305-293-3927
Practice Address - Street 1:100 TRUMBO RD
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-6655
Practice Address - Country:US
Practice Address - Phone:305-293-2390
Practice Address - Fax:305-293-3927
Is Sole Proprietor?:No
Enumeration Date:2011-11-22
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL230527376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide