MEDICARE: MARITSA HOFHERR

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0001296741	VA

General Provider Information

NPI Number	:	1518771096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARITSA HOFHERR

Provider Business Mailing Address
First Line	:	6557 KOZIARA DR
Second Line	:
City	:	BURKE
State	:	VA
Zip	:	22015-4131
Country	:	US
Telephone Number	:	917-420-0800
Fax Number	:

Provider Business Practice Location Address
First Line	:	6557 KOZIARA DR
Second Line	:
City	:	BURKE
State	:	VA
Zip	:	22015-4131
Country	:	US
Telephone Number	:	917-420-0800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2025
Last Update Date	:	02/03/2026

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Directions to “ MARITSA HOFHERR ” Practice Location

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