Provider Demographics
NPI:1245808021
Name:HER STORY LLC
Entity type:Organization
Organization Name:HER STORY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:402-234-7460
Mailing Address - Street 1:16934 FRANCES ST
Mailing Address - Street 2:STE 101
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130
Mailing Address - Country:US
Mailing Address - Phone:402-234-7460
Mailing Address - Fax:402-234-8193
Practice Address - Street 1:16934 FRANCES ST
Practice Address - Street 2:STE 101
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130
Practice Address - Country:US
Practice Address - Phone:402-234-7460
Practice Address - Fax:402-234-8193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-16
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MH4762868OtherDEA
NEH13375652OtherDRIVER LICENSE