1538391388 NPI number — ANGELA MARIE HOFF RN, MSN, NP-C

Table of content: ANGELA MARIE HOFF RN, MSN, NP-C (NPI 1538391388)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538391388 NPI number — ANGELA MARIE HOFF RN, MSN, NP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOFF
Provider First Name:
ANGELA
Provider Middle Name:
MARIE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RN, MSN, NP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538391388
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/24/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 175
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW ALBANY
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43054-0175
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-284-4114
Provider Business Mailing Address Fax Number:
614-304-6092

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
314 AGLER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GAHANNA
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43230-2546
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-284-4114
Provider Business Practice Location Address Fax Number:
614-304-6092
Provider Enumeration Date:
08/12/2009

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: 363LF0000X , with the licence number:  10925NP , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363LF0000X , with the licence number: APRN11012251 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 114043100 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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