Healthcare Provider Details

I. General information

NPI: 1093189623
Provider Name (Legal Business Name): STEPHANIE ANN HOFFMAN RN, BSN, RNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE ANN JOHNSON RN, BSN, RNFA

II. Dates (important events)

Enumeration Date: 11/19/2015
Last Update Date: 11/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS MO
63110-1003
US

IV. Provider business mailing address

1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS MO
63110-1003
US

V. Phone/Fax

Practice location:
  • Phone: 314-536-7849
  • Fax: 314-362-1517
Mailing address:
  • Phone: 314-536-7849
  • Fax: 314-362-1517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number2010021417
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: