Healthcare Provider Details

I. General information

NPI: 1700767514
Provider Name (Legal Business Name): RACHEL HOFFMAN RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2025
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 JOHN SWANN ST
NAVASSA NC
28451-9835
US

IV. Provider business mailing address

1320 JOHN SWANN ST
NAVASSA NC
28451-9835
US

V. Phone/Fax

Practice location:
  • Phone: 802-274-1159
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: