Provider Demographics
NPI:1750263984
Name:HOKE, SAMANTHA KAY
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:KAY
Last Name:HOKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SAMATHA
Other - Middle Name:KAY
Other - Last Name:HULT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:107 3RD AVE N STE 300
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55401-5540
Mailing Address - Country:US
Mailing Address - Phone:763-353-3616
Mailing Address - Fax:
Practice Address - Street 1:107 3RD AVE N STE 300
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55401-5540
Practice Address - Country:US
Practice Address - Phone:763-353-3616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN13091363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily