Provider Demographics
NPI:1356326078
Name:HOFFMANN, PATRYCJA M (NP)
Entity Type:Individual
Prefix:MRS
First Name:PATRYCJA
Middle Name:M
Last Name:HOFFMANN
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:10 CRC HATFIELD CLINICAL RESEARCH CENTER 5 5657
Mailing Address - Street 2:10 CENTER DRIVE
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0001
Mailing Address - Country:US
Mailing Address - Phone:301-594-2500
Mailing Address - Fax:301-451-5470
Practice Address - Street 1:10 CRC HATFIELD CLINICAL RESEARCH CENTER 5 5657
Practice Address - Street 2:10 CENTER DRIVE
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-594-2500
Practice Address - Fax:301-451-5470
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-15
Last Update Date:2010-04-15
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDAC000667363LA2200X
DCRN1006246363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC036989900Medicaid
MD408838700Medicaid
DCP00706334OtherMEDICARE RAILROAD
Q07393Medicare UPIN
DC036989900Medicaid