Provider Demographics
NPI:1578059689
Name:HOFFMANN, MICHELLE ELIZABETH (FNP)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ELIZABETH
Last Name:HOFFMANN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4344 COSTELLO WAY
Mailing Address - Street 2:SUITE 302B
Mailing Address - City:HAYMARKET
Mailing Address - State:VA
Mailing Address - Zip Code:20169
Mailing Address - Country:US
Mailing Address - Phone:571-534-4010
Mailing Address - Fax:571-210-6637
Practice Address - Street 1:4344 COSTELLO WAY
Practice Address - Street 2:SUITE 302B
Practice Address - City:HAYMARKET
Practice Address - State:VA
Practice Address - Zip Code:20169
Practice Address - Country:US
Practice Address - Phone:571-534-4010
Practice Address - Fax:571-210-6637
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-02
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA990750684261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty