Provider Demographics
NPI:1629539739
Name:EOFF, AUNDRIA NICHELLE (MD)
Entity type:Individual
Prefix:
First Name:AUNDRIA
Middle Name:NICHELLE
Last Name:EOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2720 BROADWAY AVE N
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55906-3980
Mailing Address - Country:US
Mailing Address - Phone:507-529-0503
Mailing Address - Fax:507-529-0270
Practice Address - Street 1:2720 BROADWAY AVE N
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55906-3980
Practice Address - Country:US
Practice Address - Phone:507-529-0503
Practice Address - Fax:507-529-0270
Is Sole Proprietor?:No
Enumeration Date:2019-03-29
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021029003207Q00000X
KS04-46424207Q00000X
MN78573207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine