Provider Demographics
NPI:1902051709
Name:HOFFMAN-SEIFERT, HEATHER JO (CNP)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:JO
Last Name:HOFFMAN-SEIFERT
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 LAKESIDE AVE.
Mailing Address - Street 2:#1000
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114
Mailing Address - Country:US
Mailing Address - Phone:419-516-7438
Mailing Address - Fax:855-210-3123
Practice Address - Street 1:1001 LAKESIDE AVE.
Practice Address - Street 2:#1000
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114
Practice Address - Country:US
Practice Address - Phone:419-516-7438
Practice Address - Fax:855-210-3123
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-20
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704256575363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily