Provider Demographics
NPI:1184625881
Name:HOFFMAN, MARILYN G (CRNP)
Entity type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:G
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:MARILYN
Other - Middle Name:G
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:320 E NORTH AVE
Mailing Address - Street 2:AGH NEONATOLOGY
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4756
Mailing Address - Country:US
Mailing Address - Phone:412-359-3164
Mailing Address - Fax:412-359-3663
Practice Address - Street 1:320 E NORTH AVE
Practice Address - Street 2:AGH NEONATOLOGY
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4756
Practice Address - Country:US
Practice Address - Phone:412-359-3164
Practice Address - Fax:412-359-3663
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP001209J363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal