Provider Demographics
NPI:1770267866
Name:HOFF, KRISANA MARIE
Entity type:Individual
Prefix:
First Name:KRISANA
Middle Name:MARIE
Last Name:HOFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1941 MELODY HILL CIR
Mailing Address - Street 2:
Mailing Address - City:EXCELSIOR
Mailing Address - State:MN
Mailing Address - Zip Code:55331-8802
Mailing Address - Country:US
Mailing Address - Phone:612-751-1633
Mailing Address - Fax:
Practice Address - Street 1:1941 MELODY HILL CIR
Practice Address - Street 2:
Practice Address - City:EXCELSIOR
Practice Address - State:MN
Practice Address - Zip Code:55331-8802
Practice Address - Country:US
Practice Address - Phone:612-751-1633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist