Healthcare Provider Details

I. General information

NPI: 1265915946
Provider Name (Legal Business Name): ELLEN N HOPPE APRN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2018
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3231 MCMULLEN BOOTH RD
SAFETY HARBOR FL
34695-6607
US

IV. Provider business mailing address

313 24TH ST N
ST PETERSBURG FL
33713-7921
US

V. Phone/Fax

Practice location:
  • Phone: 727-725-6111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN11006347
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: