Provider Demographics
NPI:1023025624
Name:HOFFMANN, LINDA H (NP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:H
Last Name:HOFFMANN
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:420 E 2ND AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30161-3224
Mailing Address - Country:US
Mailing Address - Phone:706-509-3278
Mailing Address - Fax:706-509-4608
Practice Address - Street 1:304 SHORTER AVE NW
Practice Address - Street 2:SUITE 102
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-4290
Practice Address - Country:US
Practice Address - Phone:706-233-9349
Practice Address - Fax:706-232-7986
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2021-06-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA060455363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000876114DMedicaid
GAP08608Medicare UPIN
GA000876114DMedicaid