Healthcare Provider Details

I. General information

NPI: 1437677549
Provider Name (Legal Business Name): EMILY HOFFMAN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2017
Last Update Date: 09/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

269 UNION ST
LYNN MA
01901-1314
US

IV. Provider business mailing address

80 FAWCETT ST UNIT 455
CAMBRIDGE MA
02138-1159
US

V. Phone/Fax

Practice location:
  • Phone: 774-571-7509
  • Fax:
Mailing address:
  • Phone: 774-571-7509
  • Fax: 774-571-7509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2300934
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: