Healthcare Provider Details

I. General information

NPI: 1023802352
Provider Name (Legal Business Name): ABIGAIL LINDA HOFFMAN APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2025
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5734 FREMONT PIKE
STONY RIDGE OH
43463-9507
US

IV. Provider business mailing address

2231 STATE ROUTE 590 S
BURGOON OH
43407-9718
US

V. Phone/Fax

Practice location:
  • Phone: 419-318-8652
  • Fax:
Mailing address:
  • Phone: 419-680-1153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0038991
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: