Provider Demographics
NPI:1548626310
Name:HOBSON, MARTHA VICTORIA (APRN)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:VICTORIA
Last Name:HOBSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:VICKI
Other - Middle Name:
Other - Last Name:GEORGE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:PO BOX 21850
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS NATIONAL PARK
Mailing Address - State:AR
Mailing Address - Zip Code:71903-1850
Mailing Address - Country:US
Mailing Address - Phone:501-525-9675
Mailing Address - Fax:501-525-7059
Practice Address - Street 1:651 HERITAGE DR
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:AR
Practice Address - Zip Code:72150-5000
Practice Address - Country:US
Practice Address - Phone:870-942-1301
Practice Address - Fax:870-942-1305
Is Sole Proprietor?:No
Enumeration Date:2016-01-11
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA004606363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR213173758Medicaid
ARA004606OtherAPRN