Healthcare Provider Details

I. General information

NPI: 1538391388
Provider Name (Legal Business Name): ANGELA MARIE HOFF RN, MSN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2009
Last Update Date: 06/24/2022
Certification Date: 06/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 AGLER RD
GAHANNA OH
43230-2546
US

IV. Provider business mailing address

PO BOX 175
NEW ALBANY OH
43054-0175
US

V. Phone/Fax

Practice location:
  • Phone: 614-284-4114
  • Fax: 614-304-6092
Mailing address:
  • Phone: 614-284-4114
  • Fax: 614-304-6092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number10925NP
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11012251
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: