Individual
MR. RUSSELL OLIVER HOFFMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 475-8521
(513) 475-7480
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 245-3104
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
COA.10780-NP
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP10780
OH
363LA2100X
Acute Care Nurse Practitioner
COA 10780 NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2630826
—
OH
Enumeration date
06/15/2006
Last updated
08/07/2019
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