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NPI Code Detail

MEDICARE: ABIGAIL GREER HOFSTRAND NP

MEDICARE: ABIGAIL GREER HOFSTRAND 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
1163W00000XRegistered Nurse658142NY
2163W00000XRegistered NurseRN9374321FL
3163WL0100XLactation Consultant (Registered Nurse)L-301507NY
4363L00000XNurse PractitionerRNP9374321FL
5363LP0200XPediatric Nurse Practitioner382746NY
6363LP2300XPrimary Care Nurse Practitioner20170943NY
7363LP2300XPrimary Care Nurse PractitionerAPRN9374321FL

General Provider Information

NPI Number : 1700120847
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL GREER HOFSTRAND NP
Provider Business Mailing Address
First Line : 1315 GILFORD POINT LN
Second Line :
City : DAVENPORT
State : FL
Zip : 33896-5301
Country : US
Telephone Number : 717-801-9304
Fax Number :
Provider Business Practice Location Address
First Line : 2501 N ORANGE AVE STE 310
Second Line :
City : ORLANDO
State : FL
Zip : 32804-4642
Country : US
Telephone Number : 407-303-2001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2012
Last Update Date : 06/23/2023

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