Provider Demographics
NPI:1891925798
Name:HOPFENSPERGER, MONICA LOUISE (RN)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:LOUISE
Last Name:HOPFENSPERGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1485 MAPLE HILLS CT
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54313-3970
Mailing Address - Country:US
Mailing Address - Phone:920-434-3803
Mailing Address - Fax:
Practice Address - Street 1:1485 MAPLE HILLS CT
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54313-3970
Practice Address - Country:US
Practice Address - Phone:920-434-3803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-26
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI127134-030163WN0002X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care