MR. ANDREW CLARK HOISTAD NPI 1114799301

NPI Information

  • NPI: 1114799301
  • Provider Name: MR. ANDREW CLARK HOISTAD
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 1245 GUN CLUB RD
    WHITE BEAR LAKE, MN
    ZIP 55110
  • Phone: (612) 644-4887

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NPI Details

MR. Andrew Clark Hoistad is a student in an organized health care education training program in White Bear Lake, MN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Andrew Clark Hoistad NPI is 1114799301. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1245 GUN CLUB RD
WHITE BEAR LAKE, MN
ZIP 55110-379
Phone: (612) 644-4887

The enumeration date for this NPI number is 10/23/2023 and was last updated on 10/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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