Healthcare Provider Details

I. General information

NPI: 1962223255
Provider Name (Legal Business Name): JULIA HOFFMAN NRP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2024
Last Update Date: 10/21/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N WALKER AVE STE 240
OKLAHOMA CITY OK
73102-1656
US

IV. Provider business mailing address

1312 NE 9TH ST
OKLAHOMA CITY OK
73117-2206
US

V. Phone/Fax

Practice location:
  • Phone: 405-838-3532
  • Fax:
Mailing address:
  • Phone: 405-838-3532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number77646
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: