Healthcare Provider Details

I. General information

NPI: 1700237054
Provider Name (Legal Business Name): BARBARA LYNN HOFFER FNP-BC; NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BARB LYNN HOFFER

II. Dates (important events)

Enumeration Date: 06/28/2016
Last Update Date: 07/01/2020
Certification Date: 07/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 E BROADWAY AVE
BISMARCK ND
58501-4520
US

IV. Provider business mailing address

PO BOX 5074
SIOUX FALLS SD
57117-5074
US

V. Phone/Fax

Practice location:
  • Phone: 701-530-3106
  • Fax: 701-530-3117
Mailing address:
  • Phone: 701-323-5422
  • Fax: 701-323-8645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR29319
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR29319
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: