Healthcare Provider Details
I. General information
NPI: 1700413515
Provider Name (Legal Business Name): MCHALEY HOFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/24/2020
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17 WESTERN MARYLAND PKWY STE 100
HAGERSTOWN MD
21740-5471
US
IV. Provider business mailing address
601 MEMORY LN
YORK PA
17402-2231
US
V. Phone/Fax
- Phone: 301-797-9240
- Fax: 301-797-4234
- Phone: 717-851-1405
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | SP021607 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | R216804 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: