Provider Demographics
NPI:1780183988
Name:DANNENHOFFER, JULIANNA CATHERINE (FNP)
Entity type:Individual
Prefix:
First Name:JULIANNA
Middle Name:CATHERINE
Last Name:DANNENHOFFER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:11350 MCCORMICK RD
Mailing Address - Street 2:EXECUTIVE PLAZA 1, SUITE 501
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031-1002
Mailing Address - Country:US
Mailing Address - Phone:410-329-1071
Mailing Address - Fax:410-329-1054
Practice Address - Street 1:11 SOUTH RD STE 250
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-2484
Practice Address - Country:US
Practice Address - Phone:860-674-0222
Practice Address - Fax:860-674-0024
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-03
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT7941363LF0000X
MARN2298915163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse