Provider Demographics
NPI:1083894380
Name:HOFFMAN, SUSAN E (CRNP)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:E
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:283 NIANTIC RD
Mailing Address - Street 2:
Mailing Address - City:BARTO
Mailing Address - State:PA
Mailing Address - Zip Code:19504-9301
Mailing Address - Country:US
Mailing Address - Phone:610-845-3049
Mailing Address - Fax:
Practice Address - Street 1:283 NIANTIC RD
Practice Address - Street 2:
Practice Address - City:BARTO
Practice Address - State:PA
Practice Address - Zip Code:19504-9301
Practice Address - Country:US
Practice Address - Phone:610-845-3049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-05
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN-323655-L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse