Provider Demographics
NPI:1023235090
Name:HOEBEKE, ROBERTA E (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:ROBERTA
Middle Name:E
Last Name:HOEBEKE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 PROFESSIONAL BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47714-8014
Mailing Address - Country:US
Mailing Address - Phone:812-471-4110
Mailing Address - Fax:812-471-4275
Practice Address - Street 1:1401 PROFESSIONAL BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714-8014
Practice Address - Country:US
Practice Address - Phone:812-471-4110
Practice Address - Fax:812-471-4275
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71001588A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN146080MMedicare ID - Type Unspecified