Healthcare Provider Details

I. General information

NPI: 1740470160
Provider Name (Legal Business Name): CHRISTINE HOFFER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINE HOLMES RN

II. Dates (important events)

Enumeration Date: 08/01/2007
Last Update Date: 08/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8905 ARQUETTE RD
OREGON OH
43618-9793
US

IV. Provider business mailing address

8905 ARQUETTE RD
OREGON OH
43618-9793
US

V. Phone/Fax

Practice location:
  • Phone: 419-836-1010
  • Fax:
Mailing address:
  • Phone: 419-836-1010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN257449
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: