Healthcare Provider Details

I. General information

NPI: 1316543671
Provider Name (Legal Business Name): JOSEPH A HOFFMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2020
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 N BROADWELL AVE
GRAND ISLAND NE
68803-2153
US

IV. Provider business mailing address

2201 N BROADWELL AVE
GRAND ISLAND NE
68803-2153
US

V. Phone/Fax

Practice location:
  • Phone: 715-965-6294
  • Fax:
Mailing address:
  • Phone: 866-580-1810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number28615
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: