Healthcare Provider Details

I. General information

NPI: 1295867794
Provider Name (Legal Business Name): JOANIE HOFFMAN STNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2007
Last Update Date: 07/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5861 BLENDON PLACE DR
COLUMBUS OH
43230-9822
US

IV. Provider business mailing address

5861 BLENDON PLACE DR
COLUMBUS OH
43230-9822
US

V. Phone/Fax

Practice location:
  • Phone: 614-296-7927
  • Fax:
Mailing address:
  • Phone: 614-296-7927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number375065020995
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: