MEDICARE: SUSAN E. HOFFMAN CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN-323655-L	PA

General Provider Information

NPI Number	:	1083894380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN E. HOFFMAN CRNP

Provider Business Mailing Address
First Line	:	283 NIANTIC RD
Second Line	:
City	:	BARTO
State	:	PA
Zip	:	19504-9301
Country	:	US
Telephone Number	:	610-845-3049
Fax Number	:

Provider Business Practice Location Address
First Line	:	283 NIANTIC RD
Second Line	:
City	:	BARTO
State	:	PA
Zip	:	19504-9301
Country	:	US
Telephone Number	:	610-845-3049
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2007
Last Update Date	:	06/03/2008

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