MEDICARE: CORIN HOHMAN

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	363LW0102X	Women's Health Nurse Practitioner	0024185432	VA

General Provider Information

NPI Number	:	1114642725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORIN HOHMAN

Provider Business Mailing Address
First Line	:	6845 ELM ST STE 600
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22101-6027
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6845 ELM ST STE 600
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22101-6027
Country	:	US
Telephone Number	:	703-748-9880
Fax Number	:

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

Provider Enumeration Date	:	10/05/2022
Last Update Date	:	10/05/2022

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Directions to “ CORIN HOHMAN ” Practice Location

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