Healthcare Provider Details

I. General information

NPI: 1215752035
Provider Name (Legal Business Name): SARAH ETOYLE HOFSTETTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2024
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 QUARRY LAKE DRIVE SUITE 280
BALTIMORE MD
21209
US

IV. Provider business mailing address

5 KENT NARROWS CT
PARKVILLE MD
21234-1353
US

V. Phone/Fax

Practice location:
  • Phone: 410-469-5544
  • Fax: 410-585-2867
Mailing address:
  • Phone: 443-610-2565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR240838
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: