MEDICARE: CYNDI HOFFMAN FNP

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	363L00000X	Nurse Practitioner	201487	SC
2	363L00000X	Nurse Practitioner	5001290	NC

General Provider Information

NPI Number	:	1548233786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNDI HOFFMAN FNP

Provider Business Mailing Address
First Line	:	PO BOX 19305
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28219-9305
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10650 PARK RD
Second Line	:	STE 330
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-8538
Country	:	US
Telephone Number	:	704-468-8877
Fax Number	:

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

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	09/27/2021

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Directions to “ CYNDI HOFFMAN FNP” Practice Location

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