MEDICARE: DEBRA HOHMANN NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	95017059	CA

General Provider Information

NPI Number	:	1114506417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA HOHMANN NP

Provider Business Mailing Address
First Line	:	2 BARN RD
Second Line	:
City	:	BELVEDERE TIBURON
State	:	CA
Zip	:	94920-2392
Country	:	US
Telephone Number	:	209-996-3252
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 BARN RD
Second Line	:
City	:	BELVEDERE TIBURON
State	:	CA
Zip	:	94920-2392
Country	:	US
Telephone Number	:	209-996-3252
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2021
Last Update Date	:	10/16/2023

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