Healthcare Provider Details

I. General information

NPI: 1114642725
Provider Name (Legal Business Name): CORIN HOHMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2022
Last Update Date: 10/05/2022
Certification Date: 10/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6845 ELM ST STE 600
MC LEAN VA
22101-6027
US

IV. Provider business mailing address

6845 ELM ST STE 600
MC LEAN VA
22101-6027
US

V. Phone/Fax

Practice location:
  • Phone: 703-748-9880
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number0024185432
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: