MEDICARE: MRS. AMY ELIZABETH HOFFMAN FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	71004514A	IN

General Provider Information

NPI Number	:	1053751461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY ELIZABETH HOFFMAN FNP

Provider Business Mailing Address
First Line	:	226 US HIGHWAY 20
Second Line	:
City	:	MIDDLEBURY
State	:	IN
Zip	:	46540-9713
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	226 US HIGHWAY 20
Second Line	:
City	:	MIDDLEBURY
State	:	IN
Zip	:	46540-9713
Country	:	US
Telephone Number	:	574-825-8068
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2013
Last Update Date	:	10/23/2025

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