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ANNE-MARIA HOFMANN DOUGLAS APRN NPI 1003335274


NPI Information

NPI: 1003335274
Provider Name: ANNE-MARIA HOFMANN DOUGLAS, APRN
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1850 SW FOUNTAINVIEW BLVD STE 105
PORT ST LUCIE, FL
ZIP 34986
Phone: (772) 336-2818
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Anne-maria Hofmann Douglas, APRN is a pediatrics nurse practitioner in Port St Lucie, FL. Anne-maria Hofmann Douglas, APRN NPI is 1003335274. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1850 SW FOUNTAINVIEW BLVD STE 105
PORT ST LUCIE, FL
ZIP 34986-527
Phone: (772) 336-2818
Fax: (772) 336-5313

The NPI 1003335274 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/19/2017 and was last updated on 10/29/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatricsAPRN9311035FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ARNP9311035OTHERFLORIDAFLORIDA BOARD OF NURSING
2RN9311035OTHERFLORIDAFLORIDA BOARD OF NURSING
3022875400MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.