Healthcare Provider Details

I. General information

NPI: 1275689010
Provider Name (Legal Business Name): SHERRI ANN HOFFMAN MPH, RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E 16TH ST
BERWICK PA
18603-2316
US

IV. Provider business mailing address

29 PRINCE GEORGE ST
BLOOMSBURG PA
17815-6400
US

V. Phone/Fax

Practice location:
  • Phone: 570-759-5000
  • Fax:
Mailing address:
  • Phone: 570-606-3675
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN003677
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: