Provider Demographics
NPI:1043270374
Name:HOFFMAN, BARBARA A (CNP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
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 1:1843 OAKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:NAPOLEON
Mailing Address - State:OH
Mailing Address - Zip Code:43545-9243
Mailing Address - Country:US
Mailing Address - Phone:419-599-5545
Mailing Address - Fax:419-591-3064
Practice Address - Street 1:1843 OAKWOOD AVE
Practice Address - Street 2:
Practice Address - City:NAPOLEON
Practice Address - State:OH
Practice Address - Zip Code:43545-9243
Practice Address - Country:US
Practice Address - Phone:419-599-5545
Practice Address - Fax:419-591-3064
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA01548-NP363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2478037Medicaid