Healthcare Provider Details

I. General information

NPI: 1154042547
Provider Name (Legal Business Name): VICTORIA HOHMANN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2022
Last Update Date: 03/05/2023
Certification Date: 03/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 E 27TH ST
BAYONNE NJ
07002-4608
US

IV. Provider business mailing address

19 E 27TH ST
BAYONNE NJ
07002-4608
US

V. Phone/Fax

Practice location:
  • Phone: 201-436-0033
  • Fax:
Mailing address:
  • Phone: 201-436-0033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number349303
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: