Individual
KELLY FISCHER HOFFMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 668-3871
Mailing address
2300 FENWICK WAY, VIRGINIA BEACH, VA 23453-2872
(757) 430-1939
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
24165918
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010053471
—
VA
Enumeration date
08/04/2006
Last updated
03/06/2014
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