Provider Demographics
NPI:1528438298
Name:HOFFMAN, CASI (CRNA)
Entity type:Individual
Prefix:
First Name:CASI
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:CASI
Other - Middle Name:LYN
Other - Last Name:HAMNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2101 FAR HILLS AVE
Mailing Address - Street 2:
Mailing Address - City:OAKWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45419-2540
Mailing Address - Country:US
Mailing Address - Phone:904-424-8910
Mailing Address - Fax:
Practice Address - Street 1:405 W GRAND AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45405
Practice Address - Country:US
Practice Address - Phone:937-723-3200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-06
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11002404367500000X
OHCOA.18564-NA367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered