| Doctor Name: | CASEY LEIGH HOFERICA |
| NPI Number: | 1407284854 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP015259 |
| Business Practice Address: | 500 College Ave Swarthmore, PA - 190811306 |
| Business Phone Number: | 6103288058 |
| Business Fax Number: | |
| Mailing Address: | 500 College Ave, SWARTHMORE |
| State: | PA |
| Postal Code: | 190811306 |
| Phone Number: | 6103288058 |
| Fax Number: | |
| NPI Enumeration Date: | 10/23/2013 |
| NPI Last Update Date: | 04/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | SP015259 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |