Provider Demographics
NPI:1386897429
Name:HOFFMAN-STIRRAT, GENIE-LORRAINE MARIE (LPN)
Entity type:Individual
Prefix:
First Name:GENIE-LORRAINE
Middle Name:MARIE
Last Name:HOFFMAN-STIRRAT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:928 PHILADELPHIA ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41011-2125
Mailing Address - Country:US
Mailing Address - Phone:859-431-0071
Mailing Address - Fax:
Practice Address - Street 1:928 PHILADELPHIA ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:KY
Practice Address - Zip Code:41011-2125
Practice Address - Country:US
Practice Address - Phone:859-431-0071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-03
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 102254164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse