NPI Code Details Logo

NPI 1356519938

NPI 1356519938 : DARLEEN C HOFFERT DNP RN AGNP-C QMHP : PULASKI, VA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1356519938
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    DARLEEN C HOFFERT DNP RN AGNP-C QMHP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/15/2008
-----------------------------------------------------
    Last Update Date     |    03/14/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    25 4TH ST NW 
-----------------------------------------------------
    City                 |    PULASKI
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    24301-4613
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    540-980-0922
-----------------------------------------------------
    Fax                  |    540-980-2931
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    25 4TH ST NW PO BOX 1088
-----------------------------------------------------
    City                 |    PULASKI
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    24301
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    540-980-0922
-----------------------------------------------------
    Fax                  |    540-980-2931
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LA2200X
-----------------------------------------------------
    Taxonomy Name        |    Adult Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    4704236066
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363LG0600X
-----------------------------------------------------
    Taxonomy Name        |    Gerontology Nurse Practitioner
-----------------------------------------------------
    License Number       |    4704236066
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    163W00000X
-----------------------------------------------------
    Taxonomy Name        |    Registered Nurse
-----------------------------------------------------
    License Number       |    4704236066
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.