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Individual

SUSAN J HOFMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
11155 DUNN RD STE 109N, SAINT LOUIS, MO 63136-6148
(314) 953-8799
Mailing address
11155 DUNN RD STE 109N, SAINT LOUIS, MO 63136-6148
(314) 953-8799

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2014008352
MO
363LA2200X
Adult Health Nurse Practitioner
209014838
IL

Other

Enumeration date
03/19/2014
Last updated
03/04/2021
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