Individual
BRENDA J HOFFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 MICHIGAN ST NE, STE A721, GRAND RAPIDS, MI 49546
(616) 391-3139
(616) 391-3044
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
47166734
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47166734
STATE LICENSE
MI
Enumeration date
07/09/2010
Last updated
03/09/2021
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