=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023802352
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ABIGAIL LINDA HOFFMAN APRN, FNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/09/2025
-----------------------------------------------------
Last Update Date | 09/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5734 FREMONT PIKE
-----------------------------------------------------
City | STONY RIDGE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43463-9507
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-318-8652
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2231 STATE ROUTE 590 S
-----------------------------------------------------
City | BURGOON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43407-9718
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-680-1153
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | APRN.CNP.0038991
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------