Provider Demographics
NPI:1942416144
Name:HOFRENNING, ILENE (NP)
Entity Type:Individual
Prefix:MS
First Name:ILENE
Middle Name:
Last Name:HOFRENNING
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 WOOD AVE
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-7236
Mailing Address - Country:US
Mailing Address - Phone:508-872-8021
Mailing Address - Fax:
Practice Address - Street 1:100 STATE ST.
Practice Address - Street 2:FRAMINGHAM STATE COLLEGE HEALTH SERVICES
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701
Practice Address - Country:US
Practice Address - Phone:508-626-4900
Practice Address - Fax:508-626-4024
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA153416363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily