Doctor Name: | DANA LUCILE HOFFMAN |
NPI Number: | 1992749279 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, ANP-C |
License Number: | 4704239611 |
Business Practice Address: | Suttons Bay Medical Clinic 93 B W. Fourth Street Suttons Bay, MI - 49682 |
Business Phone Number: | 2312715990 |
Business Fax Number: | 2312715959 |
Mailing Address: | 10233 Deerpath S, TRAVERSE CITY |
State: | MI |
Postal Code: | 496859084 |
Phone Number: | 2315908914 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 04/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 4704239611 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |