Provider Demographics
NPI:1326016619
Name:HOFFSTETTER, SUSAN E (PHD NP)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:E
Last Name:HOFFSTETTER
Suffix:
Gender:F
Credentials:PHD NP
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Other - Credentials:
Mailing Address - Street 1:6420 CLAYTON RD
Mailing Address - Street 2:STE. 290
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-1811
Mailing Address - Country:US
Mailing Address - Phone:314-781-1031
Mailing Address - Fax:314-781-2840
Practice Address - Street 1:1031 BELLEVUE AVE STE 200
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1856
Practice Address - Country:US
Practice Address - Phone:314-977-7455
Practice Address - Fax:314-977-7477
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2021-01-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MONCCIDHOF104301125363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health