Provider Demographics
NPI:1003864018
Name:HOFFMAN, NANCY M (CNP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:M
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 WARDS CORNER RD STE 200
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-6966
Mailing Address - Country:US
Mailing Address - Phone:513-707-4041
Mailing Address - Fax:513-576-1020
Practice Address - Street 1:100 RIVER VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:NEW RICHMOND
Practice Address - State:OH
Practice Address - Zip Code:45157-8566
Practice Address - Country:US
Practice Address - Phone:513-553-3114
Practice Address - Fax:513-553-1032
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-160728363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78008182Medicaid
OH2044586Medicaid
OH2044586Medicaid
IN200800940Medicare ID - Type Unspecified
S53087Medicare UPIN