Individual
ROBERT HOADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
11141 PARKVIEW PLAZA DR STE 305, FORT WAYNE, IN 46845-1715
(260) 266-8900
(260) 266-8935
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN179081
AZ
363L00000X
Nurse Practitioner
Primary
71016084A
IN
363LF0000X
Family Nurse Practitioner
26NR20877300
NJ
363LF0000X
Family Nurse Practitioner
AP60908558
WA
363LF0000X
Family Nurse Practitioner
AP9881
AZ
363LF0000X
Family Nurse Practitioner
C-APN.0001282-C-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2121117
—
WA
05
—
283651
—
AZ
05
—
9000167955
—
CO
Enumeration date
12/12/2016
Last updated
03/03/2025
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