Healthcare Provider Details

I. General information

NPI: 1932717485
Provider Name (Legal Business Name): JOSHUA J HOFFMANN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2020
Last Update Date: 08/15/2023
Certification Date: 08/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 N JACKSON AVE
SPRINGFIELD MN
56087-1714
US

IV. Provider business mailing address

313 CARLETON AVE
MORGAN MN
56266-1503
US

V. Phone/Fax

Practice location:
  • Phone: 507-723-6201
  • Fax: 507-217-5830
Mailing address:
  • Phone: 507-430-0936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number7512
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: