1205826328 NPI number — HEIDI MARIE HOFFMAN CRNP

Table of content: HEIDI MARIE HOFFMAN CRNP (NPI 1205826328)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205826328 NPI number — HEIDI MARIE HOFFMAN CRNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOFFMAN
Provider First Name:
HEIDI
Provider Middle Name:
MARIE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CRNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
STRAHSMEIER
Provider Other First Name:
HEIDI
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
CRNP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1205826328
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/13/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9335 MCKNIGHT RD FL 1
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15237-5903
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-847-2020
Provider Business Mailing Address Fax Number:
412-847-2025

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9335 MCKNIGHT RD FL 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15237-5903
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-847-2020
Provider Business Practice Location Address Fax Number:
412-847-2025
Provider Enumeration Date:
10/28/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2200X , with the licence number:  SP007551 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)