Individual
MS. DARLEEN C HOFFERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP RN AGNP-C QMHP
Contact information
Practice address
25 4TH ST NW, PULASKI, VA 24301-4613
(540) 980-0922
(540) 980-2931
Mailing address
25 4TH ST NW, PO BOX 1088, PULASKI, VA 24301
(540) 980-0922
(540) 980-2931
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704236066
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704236066
MI
363LG0600X
Gerontology Nurse Practitioner
4704236066
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001287899
STATE OF VIRGINIA RN LICENSE
VA
01
—
00241788175
STATE OF VIRGINIA NP LICENSE
VA
01
—
4704236066
STATE OF MICHIGAN LICENSE
MI
Enumeration date
02/15/2008
Last updated
03/14/2022
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