Provider Demographics
NPI:1992055503
Name:HOFT, MARY (DNP, PMHNP)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:
Last Name:HOFT
Suffix:
Gender:
Credentials:DNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9876 MAINEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-9693
Mailing Address - Country:US
Mailing Address - Phone:513-509-5419
Mailing Address - Fax:
Practice Address - Street 1:FORT DEFIANCE
Practice Address - Street 2:CORNER OF N 12 AND N7
Practice Address - City:FORT DEFIANCE
Practice Address - State:AZ
Practice Address - Zip Code:86504
Practice Address - Country:US
Practice Address - Phone:928-729-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-12
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP211364363LP0808X, 363LP0808X
OHAPRN.CNP.021251363LP0808X
CA95011566363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health