Provider Demographics
NPI:1376762377
Name:OFFNER, MARIA CLAUDIA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:CLAUDIA
Last Name:OFFNER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8104 HOVINGHAM WAY
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-9304
Mailing Address - Country:US
Mailing Address - Phone:305-979-1129
Mailing Address - Fax:
Practice Address - Street 1:1311 E MILLBROOK RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-5473
Practice Address - Country:US
Practice Address - Phone:919-719-0119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC001001221363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2759379Medicare PIN