Provider Demographics
NPI:1487872107
Name:HOVEN, NADINE THERESA (RN, CNS, CNP)
Entity type:Individual
Prefix:MS
First Name:NADINE
Middle Name:THERESA
Last Name:HOVEN
Suffix:
Gender:F
Credentials:RN, CNS, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4135 RICHARD AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:HERMANTOWN
Mailing Address - State:MN
Mailing Address - Zip Code:55811-2979
Mailing Address - Country:US
Mailing Address - Phone:218-591-9126
Mailing Address - Fax:
Practice Address - Street 1:4135 RICHARD AVE STE 201
Practice Address - Street 2:
Practice Address - City:HERMANTOWN
Practice Address - State:MN
Practice Address - Zip Code:55811-2979
Practice Address - Country:US
Practice Address - Phone:218-591-9126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR167986-7364SP0809X
MN3645363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult