Provider Demographics
NPI:1861056194
Name:DEAN A HOPKINS CNOR RNFA
Entity type:Organization
Organization Name:DEAN A HOPKINS CNOR RNFA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:KOCSIS
Authorized Official - Suffix:
Authorized Official - Credentials:MSH
Authorized Official - Phone:916-622-3609
Mailing Address - Street 1:PO BOX 447
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-0447
Mailing Address - Country:US
Mailing Address - Phone:916-622-3609
Mailing Address - Fax:916-780-1679
Practice Address - Street 1:1643 PALATIA DR
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-7751
Practice Address - Country:US
Practice Address - Phone:916-622-3609
Practice Address - Fax:916-780-1679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-22
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR1982186300OtherNPI