Provider Demographics
NPI:1073156865
Name:HOFMANN, BRITTANY (AGNP-C)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:HOFMANN
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 SHERRYBROOKE DR
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-3122
Mailing Address - Country:US
Mailing Address - Phone:732-216-6549
Mailing Address - Fax:
Practice Address - Street 1:65 SHERRYBROOKE DR
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-3122
Practice Address - Country:US
Practice Address - Phone:732-216-6549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-24
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00985200363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty