Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | APRN.CNP.16793 | OH |
NPI | 1063837235 |
---|---|
Provider Name | Stephanie Frances Hoffman |
First Address | Norwalk, OH 44857-2480 |
Second Address | Norwalk, OH 44857-2480 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2014 |
Last Update Date | 06/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0128293 | (05) | OH |