Provider Demographics
NPI:1255025508
Name:HOFFMAN, CAROLINE ROSE (PA-C)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:ROSE
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:925 LYNWOOD FOREST DR
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:MO
Mailing Address - Zip Code:63021-5576
Mailing Address - Country:US
Mailing Address - Phone:636-368-5257
Mailing Address - Fax:
Practice Address - Street 1:12255 DEPAUL DRIVE
Practice Address - Street 2:SUITE 420
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-2510
Practice Address - Country:US
Practice Address - Phone:314-298-3893
Practice Address - Fax:314-851-4408
Is Sole Proprietor?:No
Enumeration Date:2023-06-07
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2025039403363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical