Most Relevant Information
Provider Data
| NPI Number: | 1003408758 |
| Provider Name: | MICAELA MARIE HOFER PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 1182278 |
Most Important Dates
| Enumeration Date: | 02/04/2021 |
| Last Updated: | 02/04/2021 |
Provider Practice Location
3000 NEW BERN AVE
RALEIGH
NC
276101231
Practice Location Phone/Fax
| Phone: | 9193508000 |
| Fax: |
Provider Mailing Location
8709 HIGHHILL RD
RALEIGH
NC
276152039
Provider Mailing Phone/Fax
| Phone: | 9198103322 |
| Fax: |