Provider Demographics
NPI:1114771664
Name:HOPPE, STEPHANIE ALYS (AGACNP-BC)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:ALYS
Last Name:HOPPE
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:ALYS
Other - Last Name:STOFFEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:12 GLENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:SC
Mailing Address - Zip Code:29697-1226
Mailing Address - Country:US
Mailing Address - Phone:706-358-9920
Mailing Address - Fax:
Practice Address - Street 1:1005 GROVE RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-4630
Practice Address - Country:US
Practice Address - Phone:864-455-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC28284207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology