Provider Demographics
NPI:1932298759
Name:HOFFMAN, RITA LYNN (RN, BSN, RNFA)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:LYNN
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:RN, BSN, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 145
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:47111-0145
Mailing Address - Country:US
Mailing Address - Phone:812-987-7438
Mailing Address - Fax:812-256-5166
Practice Address - Street 1:8518 BONNIBELL DR
Practice Address - Street 2:
Practice Address - City:CHARLESTOWN
Practice Address - State:IN
Practice Address - Zip Code:47111-8925
Practice Address - Country:US
Practice Address - Phone:812-987-7438
Practice Address - Fax:812-256-5166
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28062289A163WR0006X
KY1032917163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant