Healthcare Provider Details

I. General information

NPI: 1790609154
Provider Name (Legal Business Name): BETH ANN HOFFMAN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E CARROLL ST
SALISBURY MD
21801-5422
US

IV. Provider business mailing address

3419 VIRGINIA BEACH BLVD
VIRGINIA BEACH VA
23452-4419
US

V. Phone/Fax

Practice location:
  • Phone: 410-543-7162
  • Fax: 410-543-7165
Mailing address:
  • Phone: 410-935-0790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR233215
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: