Provider Demographics
NPI:1689435414
Name:HOFFER, KRISTEN (RN, BSN)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:HOFFER
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7026 AMHERST AVE # 2
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63130-2330
Mailing Address - Country:US
Mailing Address - Phone:314-930-5659
Mailing Address - Fax:
Practice Address - Street 1:7026 AMHERST AVE # 2
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63130-2330
Practice Address - Country:US
Practice Address - Phone:314-930-5659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program