Provider Demographics
NPI:1114529542
Name:COLEMAN-HOFFMAN, KAMISHA
Entity Type:Individual
Prefix:
First Name:KAMISHA
Middle Name:
Last Name:COLEMAN-HOFFMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KAMISHA
Other - Middle Name:
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:141 STEEPLEBUSH RUN
Mailing Address - Street 2:
Mailing Address - City:SWEDESBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08085-3053
Mailing Address - Country:US
Mailing Address - Phone:856-625-0853
Mailing Address - Fax:
Practice Address - Street 1:141 STEEPLEBUSH RUN
Practice Address - Street 2:
Practice Address - City:SWEDESBORO
Practice Address - State:NJ
Practice Address - Zip Code:08085-3053
Practice Address - Country:US
Practice Address - Phone:856-625-0853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR11861300163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse