Provider Demographics
NPI:1639775042
Name:HOFMEISTER, NATALIE (MS, RDN, LD/N)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:
Last Name:HOFMEISTER
Suffix:
Gender:F
Credentials:MS, RDN, LD/N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9095 MANCHESTER ST
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-1308
Mailing Address - Country:US
Mailing Address - Phone:352-584-1921
Mailing Address - Fax:
Practice Address - Street 1:10539 CHALMER ST
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-2411
Practice Address - Country:US
Practice Address - Phone:352-247-7509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL950860133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered