Provider Demographics
NPI:1558714378
Name:HOFFMAN, SAMANTHA ELYSE (DNP)
Entity Type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:ELYSE
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:MS
Other - First Name:SAMANTHA
Other - Middle Name:ELYSE
Other - Last Name:ALBRECHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:808 S 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21629-1398
Mailing Address - Country:US
Mailing Address - Phone:410-479-2650
Mailing Address - Fax:833-908-2283
Practice Address - Street 1:808 S 5TH AVE
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:MD
Practice Address - Zip Code:21629-1398
Practice Address - Country:US
Practice Address - Phone:410-479-2650
Practice Address - Fax:833-908-2283
Is Sole Proprietor?:No
Enumeration Date:2016-07-16
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR196618363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics