Healthcare Provider Details

I. General information

NPI: 1598338378
Provider Name (Legal Business Name): AMANDA ELIZABETH HOFFMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA ELIZABETH PETERSEN

II. Dates (important events)

Enumeration Date: 07/20/2021
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

826 WASHINGTON RD STE 120
WESTMINSTER MD
21157-5779
US

IV. Provider business mailing address

6501 BALTIMORE NATIONAL PIKE STE D
CATONSVILLE MD
21228-3923
US

V. Phone/Fax

Practice location:
  • Phone: 410-848-2444
  • Fax: 410-857-1634
Mailing address:
  • Phone: 667-234-2100
  • Fax: 667-234-2944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR225622
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: