Individual
TRACEE A. HOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4400 W. 69TH ST., STE. 1500, SIOUX FALLS, SD 57108-8171
(605) 322-5700
(605) 322-5704
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CP000618
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6833650
—
SD
Enumeration date
09/16/2010
Last updated
10/11/2018
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