Healthcare Provider Details

I. General information

NPI: 1275876831
Provider Name (Legal Business Name): MRS. BERNADETTE MARIE HOFFMANN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BERNADETTE MARIE HALLOWELL CRNP

II. Dates (important events)

Enumeration Date: 04/02/2013
Last Update Date: 08/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 CHEW ST
ALLENTOWN PA
18102-3406
US

IV. Provider business mailing address

5 REENE CIR
CHALFONT PA
18914-4013
US

V. Phone/Fax

Practice location:
  • Phone: 610-776-5105
  • Fax: 610-776-5936
Mailing address:
  • Phone: 215-858-4841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP012405
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: