Healthcare Provider Details

I. General information

NPI: 1336650134
Provider Name (Legal Business Name): NATALIE MICHELE HOFFMAN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATALIE MICHELE HILL FNP-BC

II. Dates (important events)

Enumeration Date: 10/19/2017
Last Update Date: 08/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E MAIN ST
HART MI
49420-1168
US

IV. Provider business mailing address

1104 N SHERMAN ST
LUDINGTON MI
49431-1533
US

V. Phone/Fax

Practice location:
  • Phone: 231-873-2148
  • Fax:
Mailing address:
  • Phone: 813-340-3037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704211200
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704211200
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: