Healthcare Provider Details

I. General information

NPI: 1053751461
Provider Name (Legal Business Name): AMY ELIZABETH HOFFMAN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2013
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 US HIGHWAY 20
MIDDLEBURY IN
46540-9713
US

IV. Provider business mailing address

226 US HIGHWAY 20
MIDDLEBURY IN
46540-9713
US

V. Phone/Fax

Practice location:
  • Phone: 574-825-8068
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71004514A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: