Healthcare Provider Details

I. General information

NPI: 1366911687
Provider Name (Legal Business Name): EMILY HOEFT NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2018
Last Update Date: 12/10/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5325 ELLIOT DR. SECOND FLOOR
YPSILANTI MI
48197
US

IV. Provider business mailing address

24 FRANK LLOYD WRIGHT DRIVE SUITE J2000
ANN ARBOR MI
48105
US

V. Phone/Fax

Practice location:
  • Phone: 734-712-8000
  • Fax: 734-712-8010
Mailing address:
  • Phone: 734-747-6766
  • Fax: 734-222-3100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704297802
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: