Individual
MRS. NICOLE RENEE HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1840 AMHERST ST, WINCHESTER, VA 22601-2808
(540) 536-8700
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2888
(540) 536-5100
(540) 536-0235
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002508
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780765628
—
VA
01
—
VVC842F103
MEDICARE PTAN
VA
Enumeration date
10/18/2006
Last updated
03/18/2021
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