Renee Hofmann
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Roseville, MI
NPI 1366788010 · NPPES record last updated Dec 28, 2012
Key facts
- NPI
- 1366788010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 27850 Gratiot Ave
Roseville, MI 48066-4803 - Phone
- (586) 772-5876
- Fax
- (586) 772-1122
- NPI assigned
- Dec 28, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MI | Yes |
Addresses
Primary practice location
27850 Gratiot Ave
Roseville, MI 48066-4803
Mailing address
27850 Gratiot Ave
Roseville, MI 48066-4803
Phone (586) 772-5876
Other providers in Roseville, MI
- Taylor Jo Hess
- Sereene Hijazi
- Gloria V. Hill
- Erin Noel Hitzelburger
- Renee Suzette Hoelzeman
- Cynthia Hogan
- Tamicka Hollien
- Stephanie Hollifield
- Shaqueala Holly
- Hollywood Peditric Clinic
All providers in Roseville, MI · Student in an Organized Health Care Education/Training Program in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.