Provider Demographics
NPI:1275876831
Name:HOFFMANN, BERNADETTE MARIE
Entity Type:Individual
Prefix:MRS
First Name:BERNADETTE
Middle Name:MARIE
Last Name:HOFFMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:BERNADETTE
Other - Middle Name:MARIE
Other - Last Name:HALLOWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:5 REENE CIR
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-4013
Mailing Address - Country:US
Mailing Address - Phone:215-858-4841
Mailing Address - Fax:
Practice Address - Street 1:421 CHEW ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-3406
Practice Address - Country:US
Practice Address - Phone:610-776-5105
Practice Address - Fax:610-776-5936
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-02
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP012405363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health