Provider Demographics
NPI:1215139837
Name:HOFFMANN, LINDA MAE (RN)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:MAE
Last Name:HOFFMANN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3402 CALENDAR BROOK RD
Mailing Address - Street 2:
Mailing Address - City:SUTTON
Mailing Address - State:VT
Mailing Address - Zip Code:05867
Mailing Address - Country:US
Mailing Address - Phone:802-467-3514
Mailing Address - Fax:
Practice Address - Street 1:149 S BAILEY HAZEN RD
Practice Address - Street 2:HEATH & GRANT NELSON
Practice Address - City:E RYEGATE
Practice Address - State:VT
Practice Address - Zip Code:05042
Practice Address - Country:US
Practice Address - Phone:802-584-4679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0260028329163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health