Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0200X | Nurse Practitioner - Pediatrics | 278962 | CA |
NPI | 1013197425 |
---|---|
Provider Name | Ms. Anne Hoff |
First Address | Martinez, CA 94553-4640 |
Second Address | Martinez, CA 94553-4640 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2007 |
Last Update Date | 14/11/2007 |