| Doctor Name: | THERESA MENAVICH HOFFMAN |
| NPI Number: | 1093780967 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP003495H |
| Business Practice Address: | 50 N Malin Rd Broomall Rehab & Nursing Center Broomall, PA - 19008 |
| Business Phone Number: | 6103560800 |
| Business Fax Number: | |
| Mailing Address: | 411 E Turnberry Ct, WEST CHESTER |
| State: | PA |
| Postal Code: | 193822315 |
| Phone Number: | 6107930764 |
| Fax Number: | |
| NPI Enumeration Date: | 02/22/2006 |
| NPI Last Update Date: | 04/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | SP003495H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |