Provider Demographics
NPI:1871589960
Name:HOVEST, BRENDON J (CNP)
Entity type:Individual
Prefix:
First Name:BRENDON
Middle Name:J
Last Name:HOVEST
Suffix:
Gender:M
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 636930
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-0001
Mailing Address - Country:US
Mailing Address - Phone:419-538-7330
Mailing Address - Fax:419-538-7331
Practice Address - Street 1:601 STATE ROUTE 224
Practice Address - Street 2:SUITE 2
Practice Address - City:OTTAWA
Practice Address - State:OH
Practice Address - Zip Code:45875-9239
Practice Address - Country:US
Practice Address - Phone:419-538-7330
Practice Address - Fax:419-538-7331
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2024-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.07031363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2415201Medicaid
OHH003950Medicare PIN
OHP79262Medicare UPIN
OHNP12314Medicare PIN
OHNP12314Medicare PIN