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NPI Code Detail

MEDICARE: NADINE O HOFMEISTER PA-C

MEDICARE:   NADINE O HOFMEISTER  PA-C
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
1363AM0700XMedical Physician Assistant3594TN

General Provider Information

NPI Number : 1477280204
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADINE O HOFMEISTER PA-C
Provider Business Mailing Address
First Line : 210 BEDROCK DR
Second Line :
City : WHITE HOUSE
State : TN
Zip : 37188-9564
Country : US
Telephone Number : 301-518-5368
Fax Number :
Provider Business Practice Location Address
First Line : 7575 COCKRILL BEND BLVD
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-1056
Country : US
Telephone Number : 615-350-4973
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2022
Last Update Date : 08/02/2022

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Directions to “ NADINE O HOFMEISTER PA-C” Practice Location

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