Provider Demographics
NPI:1396543245
Name:HOCHSTEDLER, KHALA (RN)
Entity type:Individual
Prefix:
First Name:KHALA
Middle Name:
Last Name:HOCHSTEDLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2242 SANDPIPER CT N
Mailing Address - Street 2:
Mailing Address - City:WEST LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47906-6510
Mailing Address - Country:US
Mailing Address - Phone:765-618-5102
Mailing Address - Fax:
Practice Address - Street 1:2242 SANDPIPER CT N
Practice Address - Street 2:
Practice Address - City:WEST LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47906-6510
Practice Address - Country:US
Practice Address - Phone:765-618-5102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28187276A163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency