Healthcare Provider Details

I. General information

NPI: 1669831871
Provider Name (Legal Business Name): SAMUEL LINWOOD HOFFMAN DNP, CRNP-BC, FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2016
Last Update Date: 10/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4516 BROWNS HILL RD
PITTSBURGH PA
15217
US

IV. Provider business mailing address

4516 BROWNS HILL RD
PITTSBURGH PA
15217-2917
US

V. Phone/Fax

Practice location:
  • Phone: 412-422-7442
  • Fax: 412-904-5025
Mailing address:
  • Phone: 412-422-7442
  • Fax: 412-904-5025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN00983
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP015665
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: