Hofer, Tracee A.

Hofer, Tracee A. is an individual health care provider with primary practice located at 4400 W. 69Th St. Ste. 1500, Sioux Falls SD 57108-8171. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Hofer, Tracee A. can be contacted via phone (605) 322-5700.

Contact Information

Primary practice address
4400 W. 69Th St. Ste. 1500 Sioux Falls SD 57108-8171
Phone: (605) 322-5700
Fax: (605) 322-5704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CP000618 South Dakota

Profile Details

NPI number 1205144854
LBN Legal business name Hofer, Tracee A.
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2010
Last updated Oct 11th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205144854 NPPES
South Dakota MEDICAID 6833650

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