Provider Demographics
NPI:1407491442
Name:HOFFMAN, BELLA BATYA (CRNP)
Entity Type:Individual
Prefix:
First Name:BELLA
Middle Name:BATYA
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:REBECCA
Other - Last Name:STALEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:7000 HELEN ST APT B14
Mailing Address - Street 2:
Mailing Address - City:SOUTH PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15129-7509
Mailing Address - Country:US
Mailing Address - Phone:724-630-5394
Mailing Address - Fax:
Practice Address - Street 1:1200 BROOKS LN STE 290
Practice Address - Street 2:
Practice Address - City:JEFFERSON HILLS
Practice Address - State:PA
Practice Address - Zip Code:15025-3765
Practice Address - Country:US
Practice Address - Phone:412-729-1500
Practice Address - Fax:412-384-2462
Is Sole Proprietor?:No
Enumeration Date:2019-11-13
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1141890363LF0000X
WAAP61209308363LF0000X
COC-APN.0100343-C-NP363LF0000X
GARN313997363LF0000X
NC5015737363LF0000X
PASP020804363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1B3573Medicaid