Provider Demographics
NPI:1366681124
Name:HOEFLER, JANET L (RN, CDE)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:L
Last Name:HOEFLER
Suffix:
Gender:F
Credentials:RN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1455 E. BERT KOUNS
Mailing Address - Street 2:HIGHLAND CLINIC, APMC
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105
Mailing Address - Country:US
Mailing Address - Phone:318-795-4715
Mailing Address - Fax:318-795-4719
Practice Address - Street 1:1455 E. BERT KOUNS
Practice Address - Street 2:HIGHLAND CLINIC, APMC
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105
Practice Address - Country:US
Practice Address - Phone:318-795-4715
Practice Address - Fax:318-795-4719
Is Sole Proprietor?:No
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN077746133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered