Individual provider · Type 1 NPI

Shanda Retta Mae Hofmann, FNP-BC

Nurse Practitioner · Charleston, SC

NPI number 1811660822 Active

Practice location

25 Courtenay Dr
Charleston, SC 29425-2866

Mailing address

PO Box 751461
Charlotte, NC 28275-1461

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X9965 (CT)
Nurse Practitioner Primary 363L00000X28260 (SC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1811660822

Shanda Retta Mae Hofmann, FNP-BC's National Provider Identifier is 1811660822, issued on Jul 26, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charleston, SC. The record was last updated on Dec 3, 2024.