Provider Demographics
NPI:1518968445
Name:HOFFMAN, BARRI L (APRN)
Entity Type:Individual
Prefix:MS
First Name:BARRI
Middle Name:L
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:SILSBEE
Mailing Address - State:TX
Mailing Address - Zip Code:77656-3838
Mailing Address - Country:US
Mailing Address - Phone:409-385-6500
Mailing Address - Fax:409-385-6505
Practice Address - Street 1:735 N 5TH ST
Practice Address - Street 2:
Practice Address - City:SILSBEE
Practice Address - State:TX
Practice Address - Zip Code:77656-3838
Practice Address - Country:US
Practice Address - Phone:409-385-6500
Practice Address - Fax:409-385-6505
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX617152363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX617152OtherSTATE LICENSE
TX8C9553Medicare ID - Type Unspecified
TX617152OtherSTATE LICENSE