Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | NP08279 | OH |
N | 363L00000X | Nurse Practitioner | RN234221 | OH |
Y | 363LA2100X | Nurse Practitioner - Acute Care | COA 08279 NP | OH |
NPI | 1013926021 |
---|---|
Provider Name | Kimberly Hoffman |
First Address | Cincinnati, OH 45263-6256 |
Second Address | Cincinnati, OH 45219 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2006 |
Last Update Date | 29/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2630915 | (05) | OH |