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NPI Code Detail

MEDICARE: MRS. SUSAN E HOFFSTETTER PHD NP

MEDICARE:  MRS. SUSAN E HOFFSTETTER  PHD  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse PractitionerNCCIDHOF104301125MO

General Provider Information

NPI Number : 1326016619
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUSAN E HOFFSTETTER PHD NP
Provider Business Mailing Address
First Line : 6420 CLAYTON RD
Second Line : STE. 290
City : SAINT LOUIS
State : MO
Zip : 63117-1811
Country : US
Telephone Number : 314-781-1031
Fax Number : 314-781-2840
Provider Business Practice Location Address
First Line : 1031 BELLEVUE AVE STE 200
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63117-1856
Country : US
Telephone Number : 314-977-7455
Fax Number : 314-977-7477
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2006
Last Update Date : 01/14/2021

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Directions to “ MRS. SUSAN E HOFFSTETTER PHD NP” Practice Location

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