Provider Demographics
NPI:1427895713
Name:HOCH, BONNIE JANE (AGACNP-BC)
Entity type:Individual
Prefix:MRS
First Name:BONNIE
Middle Name:JANE
Last Name:HOCH
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8881 S DEEP CREEK DR
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84081-3325
Mailing Address - Country:US
Mailing Address - Phone:801-860-8963
Mailing Address - Fax:
Practice Address - Street 1:8881 S DEEP CREEK DR
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84081-3325
Practice Address - Country:US
Practice Address - Phone:801-860-8963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-12
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT200780-4405363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care