Provider Demographics
NPI:1033603345
Name:HOBBS, SYDNIE M (APRN)
Entity type:Individual
Prefix:
First Name:SYDNIE
Middle Name:M
Last Name:HOBBS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1760 N 200 E STE 101
Mailing Address - Street 2:
Mailing Address - City:NORTH LOGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84341-1202
Mailing Address - Country:US
Mailing Address - Phone:435-787-0560
Mailing Address - Fax:
Practice Address - Street 1:1760 N 200 E STE 101
Practice Address - Street 2:
Practice Address - City:NORTH LOGAN
Practice Address - State:UT
Practice Address - Zip Code:84341-1202
Practice Address - Country:US
Practice Address - Phone:435-787-0560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-20
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID58989363LF0000X
UT8196449-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily