Provider Demographics
NPI:1396329520
Name:HOEGER, NANNETTE KAY (CNA)
Entity type:Individual
Prefix:
First Name:NANNETTE
Middle Name:KAY
Last Name:HOEGER
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 S 18TH ST
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-5110
Mailing Address - Country:US
Mailing Address - Phone:701-741-2873
Mailing Address - Fax:
Practice Address - Street 1:1210 S 18TH ST
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-5110
Practice Address - Country:US
Practice Address - Phone:701-741-2873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant