Individual
MS. SHANDA RETTA MAE HOFMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
25 COURTENAY DR, CHARLESTON, SC 29425-2866
(843) 792-3355
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28260
SC
363LF0000X
Family Nurse Practitioner
9965
CT
Other
Enumeration date
07/26/2021
Last updated
12/03/2024
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