Healthcare Provider Details

I. General information

NPI: 1982948287
Provider Name (Legal Business Name): LINDA J HOFFMAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2012
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 HIGHWAY 59 N
HEAVENER OK
74937-2255
US

IV. Provider business mailing address

105 WALL ST
POTEAU OK
74953-4433
US

V. Phone/Fax

Practice location:
  • Phone: 918-653-2918
  • Fax: 918-653-3211
Mailing address:
  • Phone: 918-653-3566
  • Fax: 918-653-3568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number28584
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: